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Article in Japanese
Abstract
Case Report
Lung Abscess in a Patient with Good's Syndrome and Pure Red Cell Aplasia
Masaru Sato1) Hideaki Nagai1) Atsuyuki Kurasima1) Hideki Yotsumoto1) Masasi Mohri1) Keita Tanaka2) Kanae Fukushima2) Akira Hebisawa3)
Department of Pulmonology1), Department of Thoracic Surgery2), Pathology3), Tokyo National Chest Hospital, 3-1-1 Takeoka, Kiyose-shi, Tokyo
ABSTRACT
A 56-year-old man with pure red cell aplasia (PRCA), hypogammaglobulinemia and mediastinal tumor was admitted to our hospital with of dyspnea, high fever and general fatigue. Chest X-ray showed a large cavity with a niveau in the left lung. Biopsy of the mediastinal tumor revealed an epithelial cell-type thymoma. Lung abscess with Good's syndrome and PRCA was diagnosed. Antibiotics was administered, and percutaneous catheter drainage of the lung abscess was performed. He recovered and was discharged. Hypogammaglobulinemia in the case may have resulted from reduced production of gammaglobulin asso-ciated with a quantitive B-cell defect.
KEYWORDS
Good syndrome pure red cell aplasia lung abscess thymoma hypogammaglobulinemia
Received 平成9年4月7日
JJRS, 36(2): 187-191, 1998
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