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The Korean Journal of Medicine 2006;71(6): 678-682.
증례:급성 폐렴으로 발현한 Mycobacterium intracellulare 폐질환
이유지
Acute pneumonia caused by mycobacterium intracellulare
Yu-Ji Lee
고려대학교 의과대학 내과학교실
ABSTRACT
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea The Mycobacterium avium-intracellulare complex (MAC) is the most common pathogen in pulmonary disease caused by a nontuberculous mycobacteria. Patients with MAC pulmonary disease tend to be older, are more likely to have underlying lung disease than tuberculosis patients. The insidious nature of MAC pulmonary disease has been emphasized in many reports because symptoms may be present for months or years before a diagnosis can be made. Most patients experience chronic coughing, which is usually productive of purulent sputum. A MAC pulmonary infection is rarely accompanied by acute respiratory symptoms and lobar pneumonic consolidation on chest radiography. We report a very rare case of M. intracellulare pulmonary disease presenting as acute pneumonia.(Korean J Med 71:678-682, 2006) Key Words : Mycobacterium avium complex, Mycobacterium avium-intracellulare infection, Pneumonia
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