KMID : 0383820130740010028
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Tuberculosis and Respiratory Diseases 2013 Volume.74 No. 1 p.28 ~ p.31
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A Case of Congenital Cystic Adenomatoid Malformation Infected with Mycobacterium avium-intracellulare Complex
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Kim Yong-Jin
Kim Do-Young Seo Jung-Woong Lee Song-Am Hwang Jae-Joon Kim Hee-Joung Lee Kye-Young
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Abstract
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We present a case of congenital cystic adenomatoid malformation (CCAM) in a 25-year-old male who was presented with chronic cough. Chest radiography revealed an abnormal mass-like shadow in the right lower pulmonary zone. A contrast enhanced computed tomography showed an 11 cm solid, cystic mixed mass on the right lower lobe. A right lower lobectomy was performed by video-assisted thoracoscopic surgery without complications. The gross specimen showed a massive cavitation with multiloculated cysts of varying size, consistent with CCAM, along with noticeable granulomatous inflammation. Non-tuberculosis mycobacteria were isolated from a bronchial wash specimen, and the resected tissue homogenates were positive for Mycobacterium avium-intracellulare complex by polymerase chain reaction.
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KEYWORD
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Cystic Adenomatoid Malformation of Lung, Congenital, Nontuberculous Mycobacteria, Mycobacterium avium Complex
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