[Case of pneumothorax associated with pulmonary Mycobacterium fortuitum infection].
A 39-year-old man with dyspnea was revealed to have severe pneumothorax and received partial resection of the left upper lobe after unsuccessful drainage. Necrotizing epitheloid granuloma was found in the resected lung and Mycobacterium fortuitum was detected from the lesion. Chemotherapy with levofloxacin and clarithromycin was started one year after surgery because of the newly found nodular shadow near the lesion. The case experienced pyothorax due to pulmonary tuberculosis three years before and Mycobacterium avium pleuritis one year before this episode. Three-time mycobacterial pleural infection in three years seems to be uncommon. Furthermore this is the first report of pneumothorax associated with pulmonary Mycobacterium fortuitum infection.
Hagiwara
Eri
E
Department of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center.
Sekine
Akimasa
A
Sato
Tomohide
T
Baba
Tomohisa
T
Shinohara
Takeshi
T
Endo
Takahiro
T
Sogo
Yoko
Y
Nishihira
Ryuichi
R
Komatsu
Shigeru
S
Matsumoto
Yutaka
Y
Ogura
Takashi
T
Takahashi
Hiroshi
H
D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D017291:Clarithromycin / Q000494:pharmacology / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage; D024881:Drug Resistance, Bacterial; D006801:Humans; D064704:Levofloxacin; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D019907:Mycobacterium fortuitum / Q000187:drug effects / Q000302:isolation & purification; D015242:Ofloxacin / Q000494:pharmacology / Q000627:therapeutic use; D011013:Pneumonectomy; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy; D012008:Recurrence; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000382:microbiology / Q000628:therapy
D000900:Anti-Bacterial Agents; D064704:Levofloxacin; D015242:Ofloxacin; D017291:Clarithromycin