Pulmonary Mycobacterium parascrofulaceum Infection as an Immune Reconstitution Inflammatory Syndrome in an AIDS Patient
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概要
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Nontuberculous mycobacterial (NTM) infection in HIV (human immunodeficiency virus)-infected patients who have started highly active antiretroviral therapy (HAART) is well known to be one scenario of immune reconstitution inflammatory syndrome (IRIS). We encountered the first case in Japan of an HIV-infected patient with pulmonary Mycobacterium parascrofulaceum infection as IRIS. A 34 year-old man with acquired immunodeficiency syndrome (AIDS) was receiving highly active antiretroviral therapy. Lymphadenopathy was observed at the left pulmonary hilum. IRIS was suspected and thoracoscopic surgery was performed to diagnose the cause of lymphadenopathy. Granulomas were observed histologically, and M. parascrofulaceum was cultured. This organism was susceptible to Clarithromycin, rifampicin and levofloxacin. After the operation and without treatment, recurrence of M. parascrofulaceum infection was not observed. M. parascrofulaceum was isolated from several clinical specimens for the first time in 2004. To date, only five cases have been reported.
著者
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Tamaki Yuichiro
Department of Infectious, Respiratory, and Digestive Medicine, Prevention and Control of Infectious
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Kato Seiya
Division Of Diagnostic Radiology And Division Of Nuclear Technology Kurume University Hospital
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Hirayasu Tsuneo
Thoracic And Cardiovascular Surgery Department Of Bioregulatory Medicine Faculty Of Medicine Univers
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Hibiya Kenji
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Fujita Jiro
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Teruya Hiromitsu
Department Of Medicine And Therapeutics Control And Prevention Of Infectious Diseases Faculty Of Med
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Tasato Daisuke
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Nakamura Hideta
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Higa Futoshi
Department Of Infectious Respiratory And Digestive Medicine Control And Prevention Of Infectious Dis
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Kazumi Yuko
The Research Institute of Tuberculosis, Japanese Anti-Tuberculosis Association
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Tateyama Masao
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Maeda Shinji
The Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Japan
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Haranaga Shusaku
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Haranaga Shusaku
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus
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Furugen Tomonori
Thoracic and Cardiovascular Surgery Division, Faculty of Medicine, University of the Ryukyus
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Tasato Daisuke
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Nakamura Hideta
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Higa Futoshi
Department of Infections, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Japan
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Maeda Shinji
The Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association
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Tamaki Yuichiro
Department of Medicine and Therapeutics, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus
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