title: Mycobacterium avium complex pleuritis.
abstract: Non-tuberculous mycobacterium infection is rarely accompanied by pleural involvement. We report a very rare case of Mycobacterium avium-intracellurare complex (MAC) pleuritis with massive pleural effusion. The patient was a non-compromised 67-year-old female and had been treated for pulmonary non-tuberculous mycobacterium infection. She was admitted to hospital because of general malaise, low-grade fever and right pleural effusion. Cytological examination of the effusion did not show malignant cells. MAC was only identified by culture and PCR. No other bacteria were detected. Complete resolution of the pleural effusion occurred after administration of anti-tubercular agents (isoniazid, rifampin, ethambutol) and clarithromycin.
authors.affiliation: The Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan. kyana-ngs@umin.ac.jp
authors.forename: Katsunori
authors.initials: K
authors.lastname: Yanagihara
authors.forename: Kazunori
authors.initials: K
authors.lastname: Tomono
authors.forename: Toyomitsu
authors.initials: T
authors.lastname: Sawai
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Miyazaki
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hirakata
authors.forename: Jun-Ichi
authors.initials: J
authors.lastname: Kadota
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D015270:Mycobacterium avium-intracellulare Infection / Q000175:diagnosis* / Q000188:drug therapy; D010998:Pleurisy / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*