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Mycobacterium avium Pleuritis in a Non-Immunocompromised Patient


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Title: Mycobacterium avium Pleuritis in a Non-Immunocompromised Patient
Authors: Kakugawa, Tomoyuki / Mukae, Hiroshi / Kajiki, Satoko / Tanaka, Akitaka / Yamayoshi, Takatomo / Inoue, Masao / Ohtani, Hiroshi / Sakamoto, Noriho / Izumikawa, Koichi / Tasaki, Hiromi / Ooe, Nobuharu / Kohno, Shigeru
Issue Date: Oct-2008
Publisher: 日本内科学会 / The Japanese Society of Internal Medicine
Citation: Internal Medicine, 47(19), pp.1727-1731; 2008
Abstract: 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.
Keywords: Mycobacterium avium / pleuritis / nontuberculous mycobacterium / pleural biopsy
URI: http://hdl.handle.net/10069/22581
ISSN: 09182918
DOI: 10.2169/internalmedicine.47.0973
Rights: Copyright (c) 2008 (社)日本内科学会
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22581

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