Successful treatment with pneumonectomy for pulmonary Mycobacterium abscessus infection.
We report a case of pulmonary Mycobacterium abscessus (M. abscessus) infection with destructive growth in the entire right lung. The patient was 56-year-old woman who had had pulmonary tuberculosis at the age of 40 and had been diagnosed as having pulmonary Mycobacterium abscessus infection 4 years prior to admission at our hospital. Although various antibiotics were administered, persistent fever, hemoptysis and weight loss developed. After undergoing a right pneumonectomy, her clinical symptoms improved dramatically and sputum excretions of M. abscessus ceased. No relapse of the disease has been observed in the 2 years since surgery. Pneumonectomy was very effective for refractory M. abscessus infection that destroyed the right lung.
Sugino
Keishi
K
Department of Respiratory Medicine, Toho University Omori Medical Center, Tokyo. keishi_sugino@ybb.ne.jp
Kobayashi
Minaho
M
Iwata
Motohide
M
Gocho
Kyoko
K
Kaburaki
Kyohei
K
Muramatsu
Yoko
Y
Ishida
Fumiaki
F
Miyazaki
Taito
T
Sato
Daisuke
D
Sakaguchi
Shinji
S
Sano
Go
G
Kusano
Emiko
E
Isobe
Kazutoshi
K
Sakamoto
Susumu
S
Takai
Yujiro
Y
Shibuya
Kazutoshi
K
Takagi
Keigo
K
Homma
Sakae
S
D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*; D011013:Pneumonectomy / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*