Abstract
A 39-year-old man with dyspnea was revealed to have severe pneumothorax and received partial resection of the left upper lobe after unsuccessful drainage. Necrotizing epitheloid granuloma was found in the resected lung and Mycobacterium fortuitum was detected from the lesion. Chemotherapy with levofloxacin and clarithromycin was started one year after surgery because of the newly found nodular shadow near the lesion. The case experienced pyothorax due to pulmonary tuberculosis three years before and Mycobacterium avium pleuritis one year before this episode. Three-time mycobacterial pleural infection in three years seems to be uncommon. Furthermore this is the first report of pneumothorax associated with pulmonary Mycobacterium fortuitum infection.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Anti-Bacterial Agents / pharmacology
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Anti-Bacterial Agents / therapeutic use
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Clarithromycin / pharmacology
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Clarithromycin / therapeutic use
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Combined Modality Therapy
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Drainage
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Drug Resistance, Bacterial
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Humans
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Levofloxacin
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Male
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Mycobacterium Infections, Nontuberculous / complications*
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Mycobacterium Infections, Nontuberculous / microbiology
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Mycobacterium Infections, Nontuberculous / therapy
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Mycobacterium fortuitum* / drug effects
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Mycobacterium fortuitum* / isolation & purification
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Ofloxacin / pharmacology
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Ofloxacin / therapeutic use
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Pneumonectomy
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Pneumothorax / etiology*
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Pneumothorax / therapy
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Recurrence
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Treatment Outcome
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Tuberculosis, Pulmonary / complications*
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Tuberculosis, Pulmonary / microbiology
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Tuberculosis, Pulmonary / therapy
Substances
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Anti-Bacterial Agents
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Levofloxacin
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Ofloxacin
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Clarithromycin