title: Acute empyema with intractable pneumothorax associated with ruptured lung abscess caused by Mycobacterium avium.
abstract: Nontuberculous mycobacterial lung disease rarely features pleural involvement. Therapeutic strategies for this situation have not been well established. We present a case of acute empyema with intractable pneumothorax associated with ruptured lung abscess caused by Mycobacterium avium in an immunocompromised patient. Combined treatment that included multidrug antibiotic therapy and nonresectional surgery resulted in a good outcome.
authors.affiliation: Department of Thoracic Surgery, Numazu City Hospital, 550 Harunoki Higashi-shiiji, Numazu, Shizuoka 410-0302, Japan. asaik@msc.biglobe.ne.jp
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Asai
authors.forename: Norikazu
authors.initials: N
authors.lastname: Urabe
mesh_terms: D000208:Acute Disease; D000995:Antitubercular Agents / Q000627:therapeutic use; D004269:DNA, Bacterial / Q000032:analysis; D016724:Empyema, Pleural / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008169:Lung Abscess / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009162:Mycobacterium avium / Q000235:genetics / Q000302:isolation & purification*; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D011013:Pneumonectomy; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy; D016133:Polymerase Chain Reaction; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
chemical_list: D000995:Antitubercular Agents; D004269:DNA, Bacterial