title: A case of multidrug-resistant (MDR) tuberculosis with collapse of the left lung after hemoptysis.
abstract: An 82-year-old female was admitted to our hospital with multidrug-resistant (MDR) tuberculosis, defined as resistance to both isoniazid and rifampicin. Chest X-ray showed massive infiltrates with a large cavitary lesions in the left lung field. No antituberculous agents were useful in improving her clinical condition and at 6th months after admission, she exhibited sudden onset of massive hemoptysis, which was successfully treated by bronchial artery embolization. After hemoptysis, her chest X-ray showed collapse of the left lung and computed tomography showed a coagula-like shadow in the left main bronchus, and sputum examination revealed no Mycobacterium tuberculosis colonies. The patient was discharged 5 months after the onset of hemoptysis.
authors.affiliation: Department of Respiratory Disease, National Sanatorium Kanagawa Hospital, 666-1, Ochiai, Hadano-shi, Kanagawa 259-8585, Japan. abey@kanagawa.hosp.go.jp
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Abe
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kurita
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Ohkubo
authors.forename: Toshinori
authors.initials: T
authors.lastname: Hashizume
authors.forename: Tadahiko
authors.initials: T
authors.lastname: Fujino
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011859:Radiography; D018088:Tuberculosis, Multidrug-Resistant / Q000150:complications / Q000382:microbiology*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology*