PMC6011017_01
Chest radiographs. (a) A chest radiograph taken 3 years prior to presentation. (b) A chest radiograph taken on the consultation day. Compared with Panel B, chest radiograph after the completion of treatment with amoxicillin clavulanate (c) shows improvements in infiltrations of the left middle and lower lung fields.
gr1.jpg
PMC6011017_01_gr1.jpg
fig0005
The patient was a 71-year-old Japanese woman with an infiltrate in the lingual of the left lung for 3 years prior to presentation (Figs. 1A and 2A ), which was suggestive of NTM infection, although the causative organism had not been isolated and identified. A chest X-ray was performed which showed infiltrates in the left middle and lower lung fields (Fig. 1B). After the initiation of treatment with amoxicillin-clavulanate for 14 days, her symptoms were promptly reduced, with improvement in the infiltrations of the left middle and lower lung fields (Fig. 1C).
CT scan of the thorax. (a) A CT scan 3 years before the consultation visit shows pulmonary infiltration of the lingual division of the left lung. (b) A CT scan taken on the consultation day shows infiltration in the left upper and lower lobes with bronchiectasis.
gr2.jpg
PMC6011017_01_gr2.jpg
fig0010
The patient was a 71-year-old Japanese woman with an infiltrate in the lingual of the left lung for 3 years prior to presentation (Figs. 1A and 2A ), which was suggestive of NTM infection, although the causative organism had not been isolated and identified. Computed tomography (CT) showed infiltration in the left upper and lower lobes with bronchiectasis (Fig. 2B).
Pasteurella multocida. Gram stain of broncho-alveolar lavage (x1000) shows small, Gram-negative rods and coccobacilli.
gr3.jpg
PMC6011017_01_gr3.jpg
fig0015
Small Gram-negative coccobacilli were present in the Gram stain of the BAL fluid (Fig. 3) and culture yielded P. multocida.