Mycobacterium avium Pleuritis in a Non-Immunocompromised Patient

被引：15

作者：

Kakugawa, Tomoyuki ^{[2
]}

Mukae, Hiroshi ^{[1
]}

Kajiki, Satoko ^{[2
]}

Tanaka, Akitaka ^{[2
]}

Yamayoshi, Takatomo ^{[3
]}

Inoue, Masao ^{[3
]}

Ohtani, Hiroshi ^{[4
]}

Sakamoto, Noriho ^{[1
]}

Izumikawa, Koichi ^{[1
]}

Tasaki, Hiromi ^{[2
]}

Ooe, Nobuharu ^{[2
]}

Kohno, Shigeru ^{[1
]}

机构：

[1] Nagasaki Univ, Sch Med, Dept Internal Med 2, Nagasaki 852, Japan

[2] Kitakyushu Municipal Yahata Hosp, Emergency & Crit Care Med Ctr, Dept Internal Med, Fukuoka, Japan

[3] Kitakyushu Municipal Yahata Hosp, Emergency & Crit Care Med Ctr, Dept Thorac Surg, Fukuoka, Japan

[4] Hakujyuji Hosp, Dept Pathol, Fukuoka, Japan

来源：

INTERNAL MEDICINE | 2008年 / 47卷 / 19期

关键词：

Mycobacterium avium; pleuritis; nontuberculous mycobacterium; pleural biopsy;

D O I：

10.2169/internalmedicine.47.0973

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1727 / 1731

页数：5

共 21 条

[1] PULMONARY MANIFESTATIONS OF MYCOBACTERIUM-INTRACELLULARIS [J].

CHRISTENSEN, EE ;

DIETZ, GW ;

AHN, CH ;

CHAPMAN, JS ;

MURRY, RC ;

ANDERSON, J ;

HURST, GA .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 133 (01) :59-66

[2] INITIAL ROENTGENOGRAPHIC MANIFESTATIONS OF PULMONARY MYCOBACTERIUM-TUBERCULOSIS, MYCOBACTERIUM-KANSASII, AND MYCOBACTERIUM-INTRACELLULARIS INFECTIONS [J].

CHRISTENSEN, EE ;

DIETZ, GW ;

AHN, CH ;

CHAPMAN, JS ;

MURRY, RC ;

ANDERSON, J ;

HURST, GA .

CHEST, 1981, 80 (02) :132-136

[3]

CORPE RF, 1963, AM REV RESPIR DIS, V87, P289

[4]

GERACI JE, 1968, MAYO CLIN PROC, V43, P124

[5]

Gotoh T, 1990, Nihon Kyobu Shikkan Gakkai Zasshi, V28, P1628

[6] MYCOBACTERIUM-AVIUM-INTRACELLULARE - A CAUSE OF DISSEMINATED LIFE-THREATENING INFECTION IN HOMOSEXUALS AND DRUG-ABUSERS [J].

GREENE, JB ;

SIDHU, GS ;

LEWIN, S ;

LEVINE, JF ;

MASUR, H ;

SIMBERKOFF, MS ;

NICHOLAS, P ;

GOOD, RC ;

ZOLLAPAZNER, SB ;

POLLOCK, AA ;

TAPPER, ML ;

HOLZMAN, RS .

ANNALS OF INTERNAL MEDICINE, 1982, 97 (04) :539-546

[7] NONTUBERCULOUS MYCOBACTERIA IN PLEURAL FLUID - ASSESSMENT OF CLINICAL-SIGNIFICANCE [J].

GRIBETZ, AR ;

DAMSKER, B ;

MARCHEVSKY, A ;

BOTTONE, EJ .

CHEST, 1985, 87 (04) :495-498

[8]

Hayashi Tatsuya, 2006, Nihon Kokyuki Gakkai Zasshi, V44, P117

[9]

Kawamoto H, 2000, Nihon Kokyuki Gakkai Zasshi, V38, P706

[10] The optimal number of pleural biopsy specimens for a diagnosis of tuberculous pleurisy [J].

Kirsch, CM ;

Kroe, DM ;

Azzi, RL ;

Jensen, WA ;

Kagawa, FT ;

Wehner, JH .

CHEST, 1997, 112 (03) :702-706

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