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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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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. |
format | Online Article Text |
id | pubmed-6223104 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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