Successful treatment with chemotherapy and corticosteroids of pulmonary Mycobacterium abscessus infection accompanied by pleural effusion

被引:12
作者
Okazaki, Akihito [1 ]
Takato, Hazuki [1 ]
Fujimura, Masaki [2 ]
Ohkura, Noriyuki [1 ]
Katayama, Nobuyuki [1 ]
Kasahara, Kazuo [1 ]
机构
[1] Kanazawa Univ, Grad Sch Med, Dept Resp Med, Kanazawa, Ishikawa 9208641, Japan
[2] Natl Hosp Org, Nanao Hosp, Nanao 9260841, Japan
基金
日本学术振兴会;
关键词
Mycobacterium abscessus; Pleural effusion; Hypersensitivity reaction; Antibiotics; Corticosteroids; ORGANIZING PNEUMONIA; DISEASE; OUTCOMES;
D O I
10.1007/s10156-012-0539-8
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We describe a 50-year-old woman with rapidly progressive pulmonary Mycobacterium abscessus (M. abscessus) infection accompanied by pleural effusion and organizing pneumonia (OP). CT scan showed consolidation, centrilobular shadows, ground-glass opacity (GGO), and cavities. A transbronchial lung biopsy showed nonnecrotizing granuloma surrounded by infiltrative lymphocyte-dominant inflammatory cells, and lymphocytes in bronchoalveolar lavage fluid (BALF) were increased. We considered OP occurred secondary to M. abscessus infection because clarithromycin, amikacin, and imipenem/cilastatin administration resulted in partial improvement. We added corticosteroids to the regimen, which resulted in a remarkable improvement. We report a case of pulmonary M. abscessus infection involving pleural effusion that responded favorably to medical therapy including corticosteroids.
引用
收藏
页码:964 / 968
页数:5
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