关键词: nontuberculous mycobacteria pulmonary artery aneurysm

Mesh : Female Humans Middle Aged Hemoptysis / etiology Pulmonary Artery / diagnostic imaging Mycobacterium Infections, Nontuberculous / complications diagnosis therapy Aneurysm / complications diagnostic imaging surgery Vascular Malformations / complications Nontuberculous Mycobacteria

来  源:   DOI:10.2169/internalmedicine.2199-23   PDF(Pubmed)

Abstract:
Nontuberculous mycobacterial (NTM) infection sometimes leads to the development of pulmonary artery aneurysm (PAA), a rare but life-threatening complication. We herein report a 64-year-old woman with a history of NTM infection who presented with severe hemoptysis. Computed tomography revealed a ruptured PAA, which was treated successfully with pulmonary artery embolization. Subsequent right total pneumonectomy was performed to control infection. This case emphasizes the need to consider PAA in patients with NTM infection who present with hemoptysis. Early detection and appropriate management are critical for preventing this fatal complication.
摘要:
非结核分枝杆菌(NTM)感染有时会导致肺动脉瘤(PAA)的发展,一种罕见但危及生命的并发症.我们在此报告了一名64岁的女性,有NTM感染史,并伴有严重咯血。计算机断层扫描显示PAA破裂,经肺动脉栓塞成功治疗。随后进行右全肺切除术以控制感染。这种情况强调需要在出现咯血的NTM感染患者中考虑PAA。早期发现和适当的管理对于预防这种致命并发症至关重要。
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