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KMID : 0388220090160020150
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Journal of the Korean Rheumatism Association
2009 Volume.16 No. 2 p.150 ~ p.155
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A Case of Nontuberculous Mycobacteria Infection That Was Misdiagnosed as an Invasion of Wegener’s Granulomatosis
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Ha Dong-Cheon
Yoon June-Young
Cho Sung-Won
Chung Jung-Im
Kim Jin-Yeob
Kim Han-Gwun
Eom Dae-Woon
Kim Sung-Soo
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Abstract
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Wegener’s granulomatosis is a rare disease that pathologically causes necrotizing granulomatous vasculitis in the arterioles and venules and it can invade the whole body. In addition, it is difficult to distinguish between a nontuberculous mycobacteria infection that shows manifestations of granuloma and Wegener’s granulomatosis. There has been no reported on a patient who had the 2 abovementioned two diseases at the same time. A 69 year old male patient had Wegener’s granulomatosis that had invaded the prostate. He also had a scrotal swelling and back pain. He had manifestations of granulomatous infection on the scrotum and spine biopsies. However, there was no clinical evidence of Wegener’s granulomatosis. As a result, we examined him for other diseases that can cause a granuloma. Consequently, he was also diagnosed as suffering with a nontuberculous mycobacteria infection. We report here on this case and we review the relevant medical literature.
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KEYWORD
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Wegener’s granulomatosis, Nontuberculous mycobacteria infection
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