Abstract
A solitary well-defined round shadow on the patient's chest X-ray was proved to be pulmonary atypical mycobacteriosis due to Mycobacterium Kansasii cultured from bronchoscopic fiber brushings of the lesion. Sputum have became negative by treatment with EB, RFP, SM and the shadow on chest X-ray have been remarkably improved.
The culture of acid-fast bacilli of fiberbronchoscopic brushings was emphasized even if the lesion appears as a tumor-like shadow on chest X-ray.