[A case of Mycobacterium intracellulare infection with chronic empyema].
A 83-year-old man had been treated for pulmonary infiltration was referred to a nearby hospital because of slight fever and cough. His chest radiograph and CT showed right chronic empyema, and in which pleural aspirate was smear positive for acid-fast bacilli and positive for PCR-Mycobacterium intracellulare. He was diagnosed as chronic empyema caused by M. intracellulare. A month later exacerbation of bronchopleural fistula was observed and M. intracellulare infection expanded into the lung. He was treated with combined use of ethambutol, rifampicin, clarithromycin, and streptomycin for six months, and his chest radiograph showed improvement, however, finally he died as he was in advanced age and emaciation due to chronic lung infection.
Taniguchi
Hirokazu
H
Department of Internal Medicine, Toyama Prefectural Central Hospital, 2-2-78, Nishinagae, Toyama-shi, Toyama 930-8550, Japan. tan@tch.pref.toyama.jp
Izumi
Saburo
S
D000369:Aged, 80 and over; D002908:Chronic Disease; D017291:Clarithromycin / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D004653:Empyema / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D004977:Ethambutol / Q000008:administration & dosage; D006801:Humans; D008297:Male; D015269:Mycobacterium avium Complex / Q000302:isolation & purification*; D015270:Mycobacterium avium-intracellulare Infection; D013902:Radiography, Thoracic; D012293:Rifampin / Q000008:administration & dosage; D013307:Streptomycin / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D004977:Ethambutol; D017291:Clarithromycin; D012293:Rifampin; D013307:Streptomycin