Pleurisy Caused by <i>Mycobacterium abscessus</i> in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

• Noguchi Shingo

  Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Hanami Kentaro

  The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Miyata Hiroko

  The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Torii Ryo

  Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Shimabukuro Ikuko

  Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Kubo Satoshi

  The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Obata Hideto

  Department of Respiratory Medicine, Yamaguchi-ken Saiseikai Shimonoseki General Hospital, Japan

• Yoshii Chiharu

  Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan

• Yatera Kazuhiro

  Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan

Abstract

M. abscessus is a rapidly growing mycobacteria (RGM) and is the most common cause of pulmonary RGM infection. M. abscessus pleurisy is extremely rare. We herein report the case of a young patient with M. abscessus pleurisy without any lung lesions. A laboratory analysis of the pleural effusion revealed lymphocyte predominance and increased adenosine deaminase, similar to the findings observed in tuberculous pleurisy. The patient was initially treated for tuberculous pleurisy, which resulted in the partial improvement of the patient's symptoms and pleural effusion. M. abscessus pleurisy should be considered, especially in immunocompromised individuals, even in the absence of pulmonary involvement.

Journal

• Internal Medicine

  Internal Medicine 57 (7), 997-1002, 2018

  The Japanese Society of Internal Medicine

Keywords

• <i>Mycobacterium abscessus</i>
• pleurisy
• dermatomyositis

Details

• CRID: 1390001204875730176
• NII Article ID: 130006602626
• DOI: 10.2169/internalmedicine.9537-17
• ISSN: 13497235
• ISSN: 09182918
• PubMed: 29269658
• Web Site: https://www.jstage.jst.go.jp/article/internalmedicine/57/7/57_9537-17/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2019131141
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed