Mycobacterium intracellulare pulmonary infection accompanied with pleural effusion.
- Author:
Soo Yeong KWAK
1
;
Sun Youn BAE
;
Won Kyoung YUN
;
Min Young KIM
;
Yoon Jung KIM
;
Moon Ki CHOI
;
Won Jung KOH
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. wjkoh@skku.edu
- Publication Type:Case Report
- Keywords:
Mycobacterium avium complex;
Mycobacterium avium-intracellulare infection;
Plural effusion
- MeSH:
Aged;
Bronchiectasis;
Bronchopneumonia;
Dyspnea;
Humans;
Lung Diseases;
Mycobacterium;
Mycobacterium avium Complex;
Mycobacterium avium-intracellulare Infection;
Pleural Effusion;
Thorax
- From:Korean Journal of Medicine
2008;75(4):475-478
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nontuberculous mycobacterial infection is rarely accompanied by pleural involvement. We report a very rare case of Mycobacterium intracellulare pulmonary disease accompanied with pleural effusion. A 76-year-old man was admitted to our hospital because of dyspnea. A chest radiograph and CT showed bilateral bronchiectasis and bronchopneumonia accompanied with right pleural effusion. The fluid was lymphocyte-dominant exudative effusion, and microbiological examinations of the effusion, including staining and culturing, proved negative. However, one month after admission, subsequent cultures of bronchial washing fluid revealed the presence of M. intracellulare. The patient's effusion was gradually resolved with antibiotic treatment, including clarithromycin.