Document Detail


Chronic Thromboembolic Pulmonary Hypertension Complicated by a Cavitating Lung Infection Caused by Mycobacterium intracellulare.
MedLine Citation:
PMID:  25130120     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 35-year-old man with a six-month history of progressive exertional dyspnea was referred to our institution. He had been diagnosed with Mycobacterium intracellulare pulmonary infection with lung cavitation two years earlier, and was being followed up without any medications. After being referred to our hospital, he underwent computed tomographic pulmonary angiography, which indicated a pulmonary thrombus and lung cavitation. Furthermore, right heart catheterization confirmed pulmonary hypertension, and we made a diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH). Following successful pulmonary endarterectomy, the patient's symptoms and hemodynamics were significantly improved, with the disappearance of lung cavitation. It is important to suspect CTEPH in patients with unaccountable infectious lung cavities.
Authors:
Kenichi Okuda; Hirotoshi Matsui; Junko Suzuki; Nobuharu Ohshima; Kimihiko Masuda; Akira Yamane; Atsuhisa Tamura; Hideaki Nagai; Shinobu Akagawa; Ken Ohta
Publication Detail:
Type:  Journal Article     Date:  2014-08-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  53     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2014  
Date Detail:
Created Date:  2014-08-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1829-33     Citation Subset:  IM    
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