title: Pulmonary Mycobacterium massiliense disease with septicemia during immunosuppressive treatment.
abstract: A 75-year-old man with interstitial pneumonia due to ANCA-related vasculitis requiring immunosuppressive treatment was admitted to our hospital because of fever and rapidly progressive dyspnea. Chest CT showed diffuse ground-glass opacity with infiltration shadow in the bilateral lungs. We established a definitive diagnosis by isolating Mycobacterium massiliense on culture examination of acid-fast bacilli from peripheral blood and sputum. We began to administer CAM, LVFX, AMK, IPM/CS to this patient two weeks after admission. However, he died of respiratory failure and septic shock. There are few case reports of pulmonary lesion with septicemia due to Mycobacterium massiliense.
authors.affiliation: Division of Respiratory Diseases, Department of Medicine, Kawasaki Medical School, Japan. yoshihiro@med.kawasaki-m.ac.jp
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kobashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Mouri
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Obase
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Miyashita
authors.forename: Kazue
authors.initials: K
authors.lastname: Nakanaga
authors.forename: Mikio
authors.initials: M
authors.lastname: Oka
mesh_terms: D000368:Aged; D056648:Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / Q000188:drug therapy; D017809:Fatal Outcome; D005798:Genes, Bacterial; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D008297:Male; D009161:Mycobacterium / Q000145:classification / Q000235:genetics / Q000302:isolation & purification; D009164:Mycobacterium Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology
chemical_list: D007166:Immunosuppressive Agents