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Kekkaku : [Tuberculosis] · Aug 2011
Case Reports[Pulmonary tuberculosis with atypical radiological findings in a patient with chronic obstructive pulmonary disease].
- Toru Kadowaki, Shuichi Yano, Kiryo Wakabayashi, Masahiro Kimura, Kanako Kobayashi, Shigenori Ishikawa, and Toshikazu Ikeda.
- Department of Pulmonary Medicine, National Hospital Organization Matsue Medical Center, 5-8-31, Agenogi, Matsue-shi, Shimane 690-8556, Japan. toruyan@matsue.hosp.go.jp
- Kekkaku. 2011 Aug 1;86(8):763-6.
AbstractA 77-year-old-man who had been treated for chronic obstructive pulmonary disease (COPD) was referred to our hospital for further examination of a chest X-ray abnormality. The chest X-ray showed consolidation in the right upper and middle lung field. Chest computed tomography showed an airspace consolidation extending subpleurally and nonsegmentally without nodular lesions. The tentative diagnosis was cryptogenic organizing pneumonia. However, bronchoalveolar lavage fluid was positive for acid-fast bacilli on smear and also positive for tuberculosis PCR, leading to a diagnosis of tuberculous pneumonia. Tuberculous pneumonia in COPD patients can be non-segmental and mimic organizing pneumonia.
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