Mycobacterium avium Pleuritis in a Non-Immunocompromised Patient
スポンサーリンク
概要
- 論文の詳細を見る
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.
著者
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Sakamoto Noriho
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Ooe Nobuharu
Department Of Internal Medicine Kitakyushu City Yahata Hospital
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Kakugawa Tomoyuki
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Ya
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Mukae Hiroshi
The Second Department Of Internal Medicine Nagasaki University School Of Medicine
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TASAKI Hiromi
Department of Internal Medicine, University of Occupational and Environmental Health
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Ohtani Hiroshi
Department Of Cardiology And Hematology Fukushima Medical University
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Inoue Masao
Department Of Applied Physics And Chemistry The University Of Electro-communications
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Tanaka Akitaka
Department Of Molecular Microbiology And Immunology Nagasaki University Graduate School Of Biomedical Sciences
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Izumikawa Koichi
The Second Department of Internal Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Yamayoshi Takatomo
Department of Thoracic Surgery, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
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Kajiki Satoko
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
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Ohtani Hiroshi
Department of Pathology, Hakujyuji Hospital
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Tasaki Hiromi
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
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Tanaka Akitaka
Department of Internal Medicine, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
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Inoue Masao
Department of Thoracic Surgery, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Hospital
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