Non-Tuberculous Mycobacterial Infection Localized in Small Intestine Developing after Allogeneic Bone Marrow Transplantation
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概要
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A 33-year-old man with myelodysplastic/myeloproliferative disease underwent allogeneic bone marrow transplantation. Around day 80 post-transplant, he complained of abdominal pain and diarrhea. Colonoscopy and esophagogastroduodenoscopy findings were unremarkable. Double-balloon enteroscopy revealed atrophic villi and mild erosions localized in the small intestine. Histological examination revealed marked proliferation of histiocytes with numerous acid-fast bacilli in their cytoplasm. The specific polymerase chain reaction for Mycobacterium tuberculosis was negative, and a diagnosis of intestinal non-tuberculous mycobacteria (NTM) was made. Physicians should recognize that NTM infection is one of the gastrointestinal infectious complications in immunocompromised patients such as bone marrow transplant recipients, and could localize in the small intestine.
著者
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Yamazaki Rie
Division Of Hematology Department Of Medicine Keio University School Of Medicine
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Nakazato Tomonori
Division of Hematology, Department of Medicine, Keio University School of Medicine
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Mori Takehiko
Division Of Hematology Department Of Medicine Keio University School Of Medicine
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Hibi Toshifumi
Division Of Gastroenterology And Hepatology Department Of Internal Medicine Keio University School O
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Okamoto Shinichiro
Division Of Hematology Department Of Internal Medicane Keio University School Of Medicine
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Nakazato Tomonori
Division Of Hematology Department Of Internal Medicine Keio University School Of Medicine
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Hisamatsu Tadakazu
Division Of Gastroenterology And Hepatology Department Of Internal Medicine School Of Medicine Keio
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Aisa Yoshinobu
Division Of Hematology Department Of Internal Medicine Yokohama Municipal Citizen's Hospital
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Hisamatsu Tadakazu
Division of Gastroenterology, Department of Medicine, Keio University School of Medicine
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Imaeda Hiroyuki
Division of Gastroenterology, Department of Medicine, Keio University School of Medicine
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