A CASE OF MYCOBACTERIUM INTRACELLULARE INFECTION WITH CHRONIC EMPYEMA

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  • TANIGUCHI Hirokazu
    Department of Internal Medicine, Toyama Prefectural Central Hospital
  • IZUMI Saburo
    Department of Internal Medicine, Toyama Prefectural Central Hospital

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  • Ｍｙｃｏｂａｃｔｅｒｉｕｍ　ｉｎｔｒａｃｅｌｌｕｌａｒｅによると思われた慢性膿胸の１例
  • ショウレイ ホウコク Mycobacterium intracellulare ニ ヨル ト オモワレタ マンセイ ノウキョウ ノ 1レイ

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Abstract

A 83-year-old man had been treated for pulmonary infiltration was referred to a nearby hospital because of slight fever and cough. His chest radiograph and CT showed right chronic empyema, and in which pleural aspirate was smear positive for acid-fast bacilli and positive for PCR-Mycobacterium intracellulare. He was diagnosed as chronic empyema caused by M. intracellulare. A month later exacerbation of bronchopleural fistula was observed and M. intracellulare infection expanded into the lung. He was treated with combined use of ethambutol, rifampicin, clarithromycin, and streptomycin for six months, and his chest radiograph showed improvement, however, finally he died as he was in advanced age and emaciation due to chronic lung infection.

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