title: [Pleuropneumonia due to Mycobacterium chelonae].
abstract: Mycobacterium chelonae (M. chelonae) is rarely responsible for respiratory infection. This report concerns the case of an 81-year-old man with previously asymptomatic bronchiectasis, colonised by M. chelonae for 3 years. He was hospitalised for acute dyspnoea and fever due to a right hydro-pneumothorax with cavitated alveolar opacities of the right lung. Pleural fluid and bronchial aspiration were positive for M. chelonae and no other microorganisms were detected. The effusion was drained and the patient treated with clarythromycin and amikacin. The radiological abnormalities improved but the patient's general condition remained poor. Treatment was continued for 11 months. Because of the absence of any other bacteria, clinical deterioration following broad-spectrum antibiotics and stabilisation of the lesions after anti-mycobacterial treatment, our diagnosis was severe M. chelonae pleuro-pneumonia in an immunocompetent patient.
authors.affiliation: Service de pneumologie, hôpital intercommunal de Créteil, CHIC de Créteil, 40 avenue de Verdun, Créteil, France.
authors.forename: K
authors.initials: K
authors.lastname: Schubel
authors.forename: L
authors.initials: L
authors.lastname: Bassinet
authors.forename: I
authors.initials: I
authors.lastname: Monnet
authors.forename: L
authors.initials: L
authors.lastname: Jabot
authors.forename: K
authors.initials: K
authors.lastname: Atassi
authors.forename: I
authors.initials: I
authors.lastname: Honoré
authors.forename: B
authors.initials: B
authors.lastname: Maître
authors.forename: B
authors.initials: B
authors.lastname: Housset
authors.forename: G
authors.initials: G
authors.lastname: Mangiapan
mesh_terms: D000369:Aged, 80 and over; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001987:Bronchiectasis / Q000382:microbiology; D017291:Clarithromycin / Q000627:therapeutic use; D004322:Drainage; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D011001:Pleuropneumonia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000583:Amikacin; D017291:Clarithromycin