Mycobacterial infection of intraparenchymal bronchogenic cysts

Liman, Şerife Tuba; Dogan, Yesim; Topçu, Salih; Karabulut, Nevzat; Demirkan, Neşe Çallı; Keser, Zehra

doi:10.1016/j.rmed.2006.03.002

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…In fact, bronchogenic cysts combined with NTM infection has been reported only once [4]. There were three additional cases in two reports of mycobacterial infection combined with a bronchogenic cyst [5,6]. However, M. tuberculosis was isolated from sputum in only one case, and no organisms were isolated in the other two cases.…”

Section: Discussionmentioning

confidence: 99%

Mycobacterium aviumlung disease combined with a bronchogenic cyst in an immunocompetent young adult

Kwon

Han

Jung

et al. 2013

Korean J Intern Med

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We report a very rare case of a bronchogenic cyst combined with nontuberculous mycobacterial pulmonary disease in an immunocompetent patient. A 21-year-old male was referred to our institution because of a cough, fever, and worsening of abnormalities on his chest radiograph, despite anti-tuberculosis treatment. Computed tomography of the chest showed a large multi-cystic mass over the right-upper lobe. Pathological examination of the excised lobe showed a bronchogenic cyst combined with a destructive cavitary lesion with granulomatous inflammation. Microbiological culture of sputum and lung tissue yielded Mycobacterium avium. The patient was administered anti-mycobacterial treatment that included clarithromycin.

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Section: Discussionmentioning

confidence: 99%

Mycobacterium aviumlung disease combined with a bronchogenic cyst in an immunocompetent young adult

Kwon

Han

Jung

et al. 2013

Korean J Intern Med

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“…A total of six case reports of intraparenchymal BCs complicated with mycobacterial infection have been published (2)(3)(4)6,9). In a report of two cases by Liman et al (3), cysts were detected by radiograph or CT, and the diagnoses of TB were made after thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Atypical Lung Parenchymal Bronchogenic Cyst Complicated by Tuberculosis Infection

Chu

Zhao

et al. 2012

Canadian Respiratory Journal

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A bronchogenic cyst (BC) is a rare congenital lesion that may cause life-threatening organ compression in children, but is generally asymptomatic in adults unless there are other complications. In the present report, a 34-year-old woman in whom a BC was complicated by tuberculosis infection is described. Due to the small size of the BC, it was asymptomatic and could not be diagnosed until she was treated with antituberculosis medications.

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“…Sputum acid-fast stain and mycobacterial cultures were negative. Liman et al reported two adult cases: a 20 year-old male with Mycobacterium identified in a right lower lobe specimen but with negative sputum culture, and a 32-year-old female with Mycobacterium isolated in a sputum culture but a negative microscopic exam and cyst fluid culture [8]. …”

Section: Discussionmentioning

confidence: 99%

Pediatric bronchogenic cyst complicated by atypical mycobacterium infection: a case report

Frye

DeCou

2009

Cases J

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IntroductionBronchogenic cysts are lesions of congenital origin derived from the primitive foregut and are the most common primary cysts of the mediastinum. They are most frequently unilocular and contain clear fluid. Respiratory distress is the most common presentation in pediatric patients, manifested by recurring episodes of cough, stridor, wheezing and retractions.Case presentationWe report the first pediatric case of bronchogenic cyst complicated by atypical Mycobacterium infection. This case describes a 13-year-old Caucasian American female with a large cystic lesion and extensive pulmonary involvement. Pathology studies revealed necrotizing granulomatous inflammation, multiple nodules, and acid-fast bacilli. She was successfully treated with surgical excision and a six-week course of clarithromycin, rifampin and ethambutol. Other unusual aspects of this case include multilocular intraparenchymal cyst appearance, its turbid drainage, and late symptom onset.ConclusionBronchogenic cyst should be included in the differential diagnosis of a child with cough, dyspnea, and fever. Although rare, we stress the importance of keeping mycobacterial infection in mind in cases of an infected cyst. Acid-fast culture should be done on sputum and cyst contents. Due to the frequency of negative cultures, stains should also be performed on resected cyst specimens. Antibiotic therapy should be considered and administered based on the extent of infection. All symptomatic or enlarging cysts warrant surgical excision. Prophylactic removal of asymptomatic cysts is recommended due to higher rates of perioperative complications once cysts become symptomatic.

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Mycobacterial infection of intraparenchymal bronchogenic cysts

Cited by 6 publications

References 8 publications

Mycobacterium aviumlung disease combined with a bronchogenic cyst in an immunocompetent young adult

Mycobacterium aviumlung disease combined with a bronchogenic cyst in an immunocompetent young adult

Atypical Lung Parenchymal Bronchogenic Cyst Complicated by Tuberculosis Infection

Pediatric bronchogenic cyst complicated by atypical mycobacterium infection: a case report

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