title: Acute pneumonia and empyema caused by Mycobacterium intracellulare.
abstract: Nontuberculous mycobacterial infection is rarely accompanied by pleural involvement. We report a very rare case of M. intracellulare pulmonary disease with pleural empyema. A 56-year-old man was admitted to our hospital because of fever, purulent sputum and pleuritic chest pain. A chest radiograph and CT revealed pneumonic consolidation in the left lower lobe and loculated hydropneumothorax. The sputum smear was positive for acid fast bacilli. The aspirated pleural fluid was grossly purulent and the smear of the pleural effusion was also positive for acid fast bacilli. M. intracellulare was identified by culture and PCR from sputum and pleural fluid specimens. The patient improved with percutaneous tube drainage of the purulent effusion and antibiotic treatment including clarithromycin, rifampicin, ethambutol and streptomycin.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Sang-Un
authors.initials: SU
authors.lastname: Park
authors.forename: Won-Jung
authors.initials: WJ
authors.lastname: Koh
authors.forename: O Jung
authors.initials: OJ
authors.lastname: Kwon
authors.forename: Hye Yun
authors.initials: HY
authors.lastname: Park
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Jun
authors.forename: Eun-Jeong
authors.initials: EJ
authors.lastname: Joo
authors.forename: Nam Yong
authors.initials: NY
authors.lastname: Lee
authors.forename: Tae Sung
authors.initials: TS
authors.lastname: Kim
authors.forename: Kyung Soo
authors.initials: KS
authors.lastname: Lee
authors.forename: Young Kil
authors.initials: YK
authors.lastname: Park
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D016724:Empyema, Pleural / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015269:Mycobacterium avium Complex; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications* / Q000188:drug therapy; D018410:Pneumonia, Bacterial / Q000188:drug therapy / Q000209:etiology*; D011030:Pneumothorax / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents