베게너 육아종증과 비결핵 항산균 감염은 병리학적으로 육아종의 소견을 보여 조직검사상 구별이 매우 어렵고, 베게너 육아종증 환자에서 발생한 비결핵 항산균 감염은 국내외에서 아직 문헌상 보고된 예가 없다. 베게너 육아종증 환자가 음낭종창과 요통이 있어 실시한 음낭 및 척추 조직검사에서 육아종성 염증 소견을 보여 베게너 육아종증의 음낭 및 척추 침범을 의심하였던 환자에서 비결핵 항산균 감염의 결과가 나왔기에 이에 저자들은 문헌 고찰과 함께 보고하는 바이다.

Wegener`s granulomatosis is a rare disease that pathologically causes necrotizing granulomatous vasculitis in the arterioles and venules and it can invade the whole body. In addition, it is difficult to distinguish between a nontuberculous mycobacteria infection that shows manifestations of granuloma and Wegener`s granulomatosis. There has been no reported on a patient who had the 2 abovementioned two diseases at the same time. A 69 year old male patient had Wegener`s granulomatosis that had invaded the prostate. He also had a scrotal swelling and back pain. He had manifestations of granulomatous infection on the scrotum and spine biopsies. However, there was no clinical evidence of Wegener`s granulomatosis. As a result, we examined him for other diseases that can cause a granuloma. Consequently, he was also diagnosed as suffering with a nontuberculous mycobacteria infection. We report here on this case and we review the relevant medical literature.