Case Report

Intralobar and Extralobar Bronchopulmonary Sequestration Complicated by Nocardia asteroides Infection

Authors: Muhammad Shibli, MD, Cliff Connery, MD, Janet M. Shapiro, MD

Abstract

Pulmonary sequestration is a rare congenital or acquired pulmonary anomaly. Pulmonary sequestration may be classified as intralobar, located within normal lung, or extralobar, in which it is separated by pleura. The coexistence of both forms is extremely rare. Infection, mainly bacterial, is a major complication of sequestration. We report the case of a young man in whom a sequestration with both intralobar and extralobar components was complicated by Nocardia asteroides infection.

This content is limited to qualifying members.

Existing members, please login first

If you have an existing account please login now to access this article or view purchase options.

Purchase only this article ($25)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Pryce DM. Lower accessory pulmonary artery with intralobar sequestration of lung: A report of seven cases. J Pathol 1946; 58: 457–467.
 
2. Stocker JT. Sequestrations of the lung. Semin Diagn Pathol 1986; 3: 106–121.
 
3. Gerle RD, Jaretzki A III, Ashley CA, Berne AS. Congenital bronchopulmonary-foregut malformation: Pulmonary sequestration communicating with the gastrointestinal tract. N Engl J Med 1968; 278: 1413–1419.
 
4. Stocker JT, Malczak HT. A study of pulmonary ligament arteries: Relationship to intralobar pulmonary sequestration. Chest 1984; 86: 611–615.
 
5. Kim HJ, Kim JH, Chung SK, Rhi S, Chung SH. Coexistent intralobar and extralobar pulmonary sequestration: Imaging findings. AJR Am J Roentgenol 1993; 160: 1199–1200.
 
6. Frazier AA, Rosado de Christenson ML, Stocker JT, Templeton PA. Intralobar sequestration: Radiologic-pathologic correlation. Radiographics 1997; 17: 725–745.
 
7. Lerner PI. Nocardiosis. Clin Infect Dis 1996; 22: 891–905.
 
8. Kontoyiannis DP, Ruoff K, Hooper DC. Nocardia bacteremia: Report of 4 cases and review of the literature. Medicine (Baltimore) 1998; 77: 255–267.
 
9. Kilpatrick GR Jr, Koontz CH, Nelson RA. Nocardia infection in a bronchopulmonary sequestration. Chest 1976; 69: 786–788.