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Heterogeneity of latent tuberculosis infection in a patient with lung cancer.

Abstract
Latent tuberculosis infection may become a source of tuberculosis dissemination, even in a subclinical case, which have no abnormalities in the pulmonary parenchyma based on imaging studies. In this case, we presented tiny granulomas beside squamous cell carcinoma in a woman positive for interferon-γ release assay (IGRA). She had no symptoms or abnormalities in the parenchyma, except for the primary lesion. Mycobacterium tuberculosis was cultured from the mediastinal lymph nodes in concurrence with [18F] fluoro-deoxy glucose uptake. The findings of the present study stress the need for careful attention to the development of tuberculosis in case of a positive IGRA.
AuthorsFumihiro Yamaguchi, Takao Minakata, Sakiko Miura, Takashi Suzuki, Hironori Sagara
JournalJournal of infection and public health (J Infect Public Health) Vol. 13 Issue 1 Pg. 151-153 (Jan 2020) ISSN: 1876-035X [Electronic] England
PMID31383566 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
Topics
  • Aged
  • Carcinoma, Squamous Cell (diagnosis)
  • Disease Progression
  • Female
  • Granuloma (microbiology)
  • Humans
  • Interferon-gamma Release Tests
  • Latent Tuberculosis (diagnosis, microbiology)
  • Lung (diagnostic imaging, pathology)
  • Lung Neoplasms (complications, microbiology)
  • Lymph Nodes (microbiology, pathology)
  • Mycobacterium tuberculosis (isolation & purification)
  • Tomography, X-Ray Computed

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