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A Case of Congenital Cystic Adenomatoid Malformation Infected with Mycobacterium avium-intracellulare Complex

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2013, v.74 no.1, pp.28-31
Yong Jin Kim (Konkuk University School of Medicine)
Do Young Kim (Konkuk University)
Jung Woong Seo (Konkuk University School of Medicine)
Song Am Lee (Konkuk University)



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Abstract

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.

keywords
Cystic Adenomatoid Malformation of Lung, Congenital, Nontuberculous Mycobacteria, Mycobacterium avium Complex

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Tuberculosis & Respiratory Diseases