Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report

Mycobacterium abscessus subsp. abscessus (MABA) is refractory and sometimes fatal especially in an immunocompromised patient. Also, MABA-associated pneumothorax is an extremely rare complication. We report a case of MABA pulmonary infection complicated pneumothorax treated successfully. A 69-year-ol...

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Autores principales: Nishizawa, Yoko, Katsura, Hideki, Sasaki, Yuka, Kudo, Ryoma, Kizuki, Aki, Horimoto, Ai, Ishikawa, Motonao, Takagi, Kae, Kikuchi, Ken, Sakura, Hiroshi, Nitta, Kosaku, Hoshino, Junichi, Ogawa, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661848/
https://www.ncbi.nlm.nih.gov/pubmed/38025248
http://dx.doi.org/10.1016/j.rmcr.2023.101941
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author Nishizawa, Yoko
Katsura, Hideki
Sasaki, Yuka
Kudo, Ryoma
Kizuki, Aki
Horimoto, Ai
Ishikawa, Motonao
Takagi, Kae
Kikuchi, Ken
Sakura, Hiroshi
Nitta, Kosaku
Hoshino, Junichi
Ogawa, Tetsuya
author_facet Nishizawa, Yoko
Katsura, Hideki
Sasaki, Yuka
Kudo, Ryoma
Kizuki, Aki
Horimoto, Ai
Ishikawa, Motonao
Takagi, Kae
Kikuchi, Ken
Sakura, Hiroshi
Nitta, Kosaku
Hoshino, Junichi
Ogawa, Tetsuya
author_sort Nishizawa, Yoko
collection PubMed
description Mycobacterium abscessus subsp. abscessus (MABA) is refractory and sometimes fatal especially in an immunocompromised patient. Also, MABA-associated pneumothorax is an extremely rare complication. We report a case of MABA pulmonary infection complicated pneumothorax treated successfully. A 69-year-old Japanese female with immunosuppressed systemic sclerosis-associated interstitial lung disease experienced left-sided secondary spontaneous pneumothorax. MABA was detected in the pleural effusion and blood culture. Microbial sensitivity test showed the MABA was sensitive to only amikacin, sitafloxacin, and clofazimine. Combination therapy with these antibiotics including azithromycin achieved remission within three weeks. In the treatment of MABA infection, compliance with microbial sensitivity test is crucial.
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spelling pubmed-106618482023-11-05 Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report Nishizawa, Yoko Katsura, Hideki Sasaki, Yuka Kudo, Ryoma Kizuki, Aki Horimoto, Ai Ishikawa, Motonao Takagi, Kae Kikuchi, Ken Sakura, Hiroshi Nitta, Kosaku Hoshino, Junichi Ogawa, Tetsuya Respir Med Case Rep Case Report Mycobacterium abscessus subsp. abscessus (MABA) is refractory and sometimes fatal especially in an immunocompromised patient. Also, MABA-associated pneumothorax is an extremely rare complication. We report a case of MABA pulmonary infection complicated pneumothorax treated successfully. A 69-year-old Japanese female with immunosuppressed systemic sclerosis-associated interstitial lung disease experienced left-sided secondary spontaneous pneumothorax. MABA was detected in the pleural effusion and blood culture. Microbial sensitivity test showed the MABA was sensitive to only amikacin, sitafloxacin, and clofazimine. Combination therapy with these antibiotics including azithromycin achieved remission within three weeks. In the treatment of MABA infection, compliance with microbial sensitivity test is crucial. Elsevier 2023-11-05 /pmc/articles/PMC10661848/ /pubmed/38025248 http://dx.doi.org/10.1016/j.rmcr.2023.101941 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nishizawa, Yoko
Katsura, Hideki
Sasaki, Yuka
Kudo, Ryoma
Kizuki, Aki
Horimoto, Ai
Ishikawa, Motonao
Takagi, Kae
Kikuchi, Ken
Sakura, Hiroshi
Nitta, Kosaku
Hoshino, Junichi
Ogawa, Tetsuya
Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title_full Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title_fullStr Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title_full_unstemmed Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title_short Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
title_sort secondary spontaneous pneumothorax in a patient with resistant mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10661848/
https://www.ncbi.nlm.nih.gov/pubmed/38025248
http://dx.doi.org/10.1016/j.rmcr.2023.101941
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