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Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection

A 41-year-old man with rheumatoid arthritis (RA) presented with worsening dyspnea and deconditioning. He had recently been treated with adalimumab for rheumatoid pleural effusions but developed non-tuberculous mycobacterial pleurisy due to Mycobacterium heckeshornense. Despite therapy with appropria...

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Detalles Bibliográficos
Autores principales: Howell, Daniel, Galen, Benjamin T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223104/
https://www.ncbi.nlm.nih.gov/pubmed/30450276
http://dx.doi.org/10.1016/j.rmcr.2018.10.021
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author Howell, Daniel
Galen, Benjamin T.
author_facet Howell, Daniel
Galen, Benjamin T.
author_sort Howell, Daniel
collection PubMed
description A 41-year-old man with rheumatoid arthritis (RA) presented with worsening dyspnea and deconditioning. He had recently been treated with adalimumab for rheumatoid pleural effusions but developed non-tuberculous mycobacterial pleurisy due to Mycobacterium heckeshornense. Despite therapy with appropriate anti-mycobacterial agents, he ultimately required video assisted thoracoscopy for decortication. While Mycobacterium heckeshornense has been reported to cause infection in multiple sites including the lung, this is the first case to our knowledge of infection confined to the pleural space. Rheumatoid pleural effusions can be complex and difficult to treat, especially when complicated by mycobacterial infection.
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spelling pubmed-62231042018-11-16 Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection Howell, Daniel Galen, Benjamin T. Respir Med Case Rep Case Report A 41-year-old man with rheumatoid arthritis (RA) presented with worsening dyspnea and deconditioning. He had recently been treated with adalimumab for rheumatoid pleural effusions but developed non-tuberculous mycobacterial pleurisy due to Mycobacterium heckeshornense. Despite therapy with appropriate anti-mycobacterial agents, he ultimately required video assisted thoracoscopy for decortication. While Mycobacterium heckeshornense has been reported to cause infection in multiple sites including the lung, this is the first case to our knowledge of infection confined to the pleural space. Rheumatoid pleural effusions can be complex and difficult to treat, especially when complicated by mycobacterial infection. Elsevier 2018-10-26 /pmc/articles/PMC6223104/ /pubmed/30450276 http://dx.doi.org/10.1016/j.rmcr.2018.10.021 Text en © 2018 The Authors. Published by Elsevier Ltd. http://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
Howell, Daniel
Galen, Benjamin T.
Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title_full Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title_fullStr Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title_full_unstemmed Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title_short Recurrent rheumatoid pleural effusions complicated by Mycobacterium heckeshornense infection
title_sort recurrent rheumatoid pleural effusions complicated by mycobacterium heckeshornense infection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223104/
https://www.ncbi.nlm.nih.gov/pubmed/30450276
http://dx.doi.org/10.1016/j.rmcr.2018.10.021
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