Korean J Med > Volume 75(4); 2008 > Article
The Korean Journal of Medicine 2008;75(4):475-478.
Mycobacterium intracellulare pulmonary infection accompanied with pleural effusion
Soo-Yeong Kwak, Sun-Youn Bae, M. D., Won-Kyoung Yun, Min Young Kim, Yoon Jung Kim, Moon Ki Choi, Won-Jung Koh
경희대학교 의과대학 순환기내과학교실
증례: 흉수를 동반한 Mycobacterium intracellulare 폐질환
곽수영 . 배선윤 . 윤원경 . 김민영 . 김윤정 . 최문기 . 고원중, Sun-Youn Bae, M. D., Won-Kyoung Yun, Min Young Kim, Yoon Jung Kim, Moon Ki Choi, Won-Jung Koh
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. (Korean J Med 75:475-478, 2008)
Key Words: Mycobacterium avium complex; Mycobacterium avium-intracellulare infection; Plural effusion


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