Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Coexistence of primary adenocarcinoma of the lung and Tsukamurella infection: a case report and review of the literature | Journal of Medical Case Reports BioMed Central Open Access Coexistence of primary adenocarcinoma of the lung and Tsukamurella infection a case report and review of the literature Vinicio A de Jesus Perez 1 Jeffrey Swigris2 and Stephen J Ruoss1 Address Department of Pulmonary and Critical Care Medicine Stanford University Medical Center Pasteur Drive Stanford CA 94305 USA and 2National Jewish Medical and Research Center Jackson Street Denver CO 80206 USA Email Vinicio A de Jesus Perez - vdejesus@ Jeffrey Swigris - swigrisj@ Stephen J Ruoss - ruoss@ Corresponding author Published 14 June 2008 Received 2 November 2007 Journal of Medical Case Reports 2008 2 207 doi 1752-1947-2-207 Accepted 14 June 2008 This article is available from http content 2 1 207 2008 Perez et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction A major diagnostic challenge in the evaluation of a cavitary lung lesion is to distinguish between infectious and malignant etiologies. Case presentation We present the case of an elderly man presenting with fever hemoptysis and a left upper lobe cavitary lesion. Serial sputum cultures grew Tsukamurella pulmonis a rare pathogen associated with cavitary pneumonia in immunocompromised patients. However despite clinical improvement with antibiotic therapy targeted to the organism concomitant discovery of a papillary thyroid carcinoma led to a needle biopsy of the cavitary lesion which showed evidence of primary lung adenocarcinoma. Conclusion This is the first description of Tsukamurella infection in the setting of primary lung carcinoma. The report also .
