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조기 폐암과 동반된 내장형 Botryomycosis 1 예
최영희,권숙희,이계영,이현구,지영구,김윤섭,배현주,김건열,명나혜,서필원 대한내과학회 1998 대한내과학회지 Vol.54 No.3
Botryomycosis is a rare, chronic and suppurative disease that is often mistaken clinically and histologically for a fungal infection, because the histologic feature shows a cluster of bacteria found within an eosinophilic matrix or capsule, giving the appearance of granules mimicking the sulfur granules of actinomycosis. Staphylococcus aureus is the most common organism cultured from lesions of botryomycosis, but other bacteria have also been isolated and implicated, including Psudomonas aeruginosa, E. coli, Proteus spp., Bacillus spp.. In some case, multiple pathogenic bacteria were found on culture. This disease has two patterns of organ involvement. The more common type is cutaneous type, which involves the skin, subcutaneous soft tissue, muscle and bone. The other is visceral type which involves the lungs, liver, tongue, orbit, bowel, brain, kidney or prostate. We report a case of brain and pulmonary botryomycosis in a 60 year-old man, who have early lung cancer. Botryomycosis was diagnosed by brain mass removal, PCNA and bronchoscopy, and lung cancer was detected incidentally by bronchoscope. The patient was treated with the Penicillin G after operation of brain mass, and right pneumonectomy was done.