Mycobacterium avium pleuritis in a non-immunocompromised patient
| Autor: | Masao Inoue, Koichi Izumikawa, Hiroshi Mukae, Hiroshi Ohtani, Satoko Kajiki, Tomoyuki Kakugawa, Akitaka Tanaka, Noriho Sakamoto, Shigeru Kohno, Nobuharu Ooe, Hiromi Tasaki, Takatomo Yamayoshi |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Pathology
medicine.medical_specialty Pleural effusion Mycobacterium avium-intracellulare infection nontuberculous mycobacterium Sick sinus syndrome Clarithromycin Biopsy Internal Medicine medicine Humans Pleurisy Ethambutol Aged Mycobacterium avium-intracellulare Infection biology medicine.diagnostic_test business.industry pleuritis General Medicine respiratory system medicine.disease biology.organism_classification respiratory tract diseases Female pleural biopsy business Tomography X-Ray Computed Immunocompetence Mycobacterium avium medicine.drug Mycobacterium |
| Zdroj: | Internal medicine (Tokyo, Japan). 47(19) |
| ISSN: | 1349-7235 |
| Popis: | Nontuberculous mycobacterium infection is rarely accompanied by pleural involvement. We describe a very rare occurrence of Mycobacterium (M) avium pleuritis with pleural effusion in a non-compromised 73-year-old woman patient who had been treated for sick sinus syndrome. She was admitted to our hospital with general malaise and left pleural effusion. To establish a definitive diagnosis, a biopsy specimen was obtained from the left parietal pleura by video-assisted thoracoscopic surgery. The pleural biopsy specimen revealed only diffuse lymphoid cell infiltration and neoplastic or granulomatous lesions were absent. Culture of the pleural biopsy specimen revealed M. avium, indicating that the pleuritis was caused by this organism. A course of anti-tubercular agents (rifampin, ethambutol and streptomycin sulfate) and clarithromycin gradually resolved the pleural effusion. Internal Medicine, 47(19), pp.1727-1731; 2008 |
| Databáze: | OpenAIRE |
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