A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease
Here we report the case of a 72-year-old woman with nodular bronchiectatic Mycobacterium avium complex (MAC) disease. Chest computed tomography on admission revealed multiple micronodular and branching opacities in both lobes with segmental distribution; bronchiectasis and bronchial wall thickening...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2012/214601 |
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| author | Kentaro Wakamatsu Nobuhiko Nagata Kazuhito Taguchi Kouji Takakura Chika Harada Hiroyuki Kumazoe Masayuki Kawasaki |
| author_facet | Kentaro Wakamatsu Nobuhiko Nagata Kazuhito Taguchi Kouji Takakura Chika Harada Hiroyuki Kumazoe Masayuki Kawasaki |
| author_sort | Kentaro Wakamatsu |
| collection | DOAJ |
| description | Here we report the case of a 72-year-old woman with nodular bronchiectatic Mycobacterium avium complex (MAC) disease. Chest computed tomography on admission revealed multiple micronodular and branching opacities in both lobes with segmental distribution; bronchiectasis and bronchial wall thickening were observed in the middle lobe and lingula. The patient consented to and underwent thoracoscopic lung biopsy; epithelioid granulomas were occasionally observed, but follicular bronchiolitis was widespread. While bronchial lesions from nontuberculous mycobacterial infection generally present as epitheliod granulomas, the present case suggests that follicular bronchiolitis can also be a histological counterpart to nodular opacities in nodular bronchiectatic MAC disease. |
| format | Article |
| id | doaj-art-e0ad33b6d7644ee2a2149f60fc5ab1d3 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-e0ad33b6d7644ee2a2149f60fc5ab1d32025-08-20T03:26:00ZengWileyCase Reports in Pulmonology2090-68462090-68542012-01-01201210.1155/2012/214601214601A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex DiseaseKentaro Wakamatsu0Nobuhiko Nagata1Kazuhito Taguchi2Kouji Takakura3Chika Harada4Hiroyuki Kumazoe5Masayuki Kawasaki6Division of Respiratory Medicine, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanDepartment of Respiratory Medicine, Fukuoka University Chikushi Hospital, 1-1-1 zokumyouin, Chikucino City 818-8502, JapanDivision of Respiratory Medicine, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanDivision of Respiratory Medicine, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanDivision of Respiratory Medicine, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanDivision of Radiology, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanDivision of Respiratory Medicine, National Hospital Organization Omuta Hospital, 1044-1 Oaza Tachibana, Omuta City 837-0911, JapanHere we report the case of a 72-year-old woman with nodular bronchiectatic Mycobacterium avium complex (MAC) disease. Chest computed tomography on admission revealed multiple micronodular and branching opacities in both lobes with segmental distribution; bronchiectasis and bronchial wall thickening were observed in the middle lobe and lingula. The patient consented to and underwent thoracoscopic lung biopsy; epithelioid granulomas were occasionally observed, but follicular bronchiolitis was widespread. While bronchial lesions from nontuberculous mycobacterial infection generally present as epitheliod granulomas, the present case suggests that follicular bronchiolitis can also be a histological counterpart to nodular opacities in nodular bronchiectatic MAC disease.http://dx.doi.org/10.1155/2012/214601 |
| spellingShingle | Kentaro Wakamatsu Nobuhiko Nagata Kazuhito Taguchi Kouji Takakura Chika Harada Hiroyuki Kumazoe Masayuki Kawasaki A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease Case Reports in Pulmonology |
| title | A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease |
| title_full | A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease |
| title_fullStr | A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease |
| title_full_unstemmed | A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease |
| title_short | A Case of Follicular Bronchiolitis as the Histological Counterpart to Nodular Opacities in Bronchiectatic Mycobacterium avium Complex Disease |
| title_sort | case of follicular bronchiolitis as the histological counterpart to nodular opacities in bronchiectatic mycobacterium avium complex disease |
| url | http://dx.doi.org/10.1155/2012/214601 |
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