Pleurisy Caused by &lt;i&gt;Mycobacterium abscessus&lt;/i&gt; in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

Noguchi, Shingo; Hanami, Kentaro; Miyata, Hiroko; Torii, Ryo; Shimabukuro, Ikuko; Kubo, Shunsuke; Obata, Hideto; Yoshii, Chiharu; Yatera, Kazuhiro

doi:10.2169/internalmedicine.9537-17

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…The prevalence of NTM disease in China has increased in the past few decades just like in other sites of the world(14). Recently , several reports describing PE in patients with NTM disease have been published(10,(15)(16)(17)(18)  Compared with other studies, we summarized three important clinical observations: 1) Almost every patient with NTM pleurisy had a delay in diagnosis; 2) A high proportion of patients had an low CD4-positive T-cell counts, autoimmune disorders and corticosteroid therapy; 3) Most patients, especially MAC-related pleurisy, developed pyopneumothorax with BPF.…”

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confidence: 93%

Clinical Relevance and Characteristics of Nontuberculous Mycobacterial Pleuritis

Peng

Wei

et al. 2020

Jpn J Infect Dis

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Nontuberculous mycobacteria (NTM) disease is of increasing public health concern, data regarding pleural effusion in NTM disease patients are limited. The purpose of this study was to investigate the clinical relevance and characteristics of NTM pleuritis. Patients with pleural effusion and NTM disease diagnosed between April 2012 and November 2017 were enrolled, their medical records were retrospectively reviewed. Clinical characteristics and treatment outcomes were analyzed. Among 100 cases with NTM disease, NTM pleuritis occurred in 7 cases (7%). Flow cytometry of T and B lymphocytes revealed an varying degrees of cellular immunodeficiency in 5 cases (71.4%). NTM pleuritis occurred with pneumothorax in 5 cases (71.4%), of whom bronchopleural fistula (BPF) was found in 4. Diagnostic delays were present in all 7 patients, and the mean time was 7 months (1 months-2years). Four patients successfully completed treatment, three patients (42.8%) died due to progressing NTM disease. Low A c c e p t e d M a n u s c r i p t 3 CD4-positive T-cell counts are common in NTM pleuritis patients. Delayed diagnosis and treatment resulted in increased incidence of NTM pleurisy and poor prognosis. Moreover, perhaps BPF is a characteristic feature of Mycobacterium avium complex (MAC)-associated pleuritis.

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confidence: 93%

Clinical Relevance and Characteristics of Nontuberculous Mycobacterial Pleuritis

Peng

Wei

et al. 2020

Jpn J Infect Dis

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“…Moreover, he did not have any radiological findings of a pulmonary NTM disease, and M. xenopi was not isolated from his sputum. The only other reported case in the literature of M. xenopi pleuritis had concurrent pulmonary infection [18], and we found only a few cases of NTM pleuritis of any species with no obvious pulmonary involvement [27][28][29][30][31][32][33].…”

Section: Discussionmentioning

confidence: 60%

“…The only other reported case in the literature of M. xenopi pleuritis had concurrent pulmonary infection [18], and we found only a few cases of NTM pleuritis of any species with no obvious pulmonary involvement [27–33].…”

Section: Discussionmentioning

confidence: 99%

Pleuritis due to Mycobacterium xenopi without pulmonary infection

Bachar

Shulimzon

Ofek

et al. 2022

Access Microbiology

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Nontuberculous mycobacteria (NTM) may cause pulmonary and extra-pulmonary disease in both immunocompetent and immunocompromised patients. Pleuritis is an uncommon manifestation on NTM disease, and pleuritis caused by Mycobacterium xenopi has only been described once before. Because it is considered to be an environmental contaminant, isolation of M. xenopi from bronchopulmonary secretions or other sites is often dismissed. The disease caused by M. xenopi is usually a pulmonary infection and typically occurs in severely immunocompromised individuals or in immunocompetent patients with an underlying chronic lung disease. We describe an unusual case of pleuritis caused by M. xenopi in a patient without an underlying chronic lung disease and with no evidence of a concurrent M. xenopi pulmonary infection.

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“…But we should treat cautiously samples that are isolated from respiratory tract specimens such as sputum and bronchoalveolar lavage fluid. Shu et al reported that the prognosis of NTM pleurisy patients with single and multiple positive results were not markedly different [ 4 , 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, the characteristics of pleural effusion are important threads. In previous reports, the characteristics of NTM-associated pleurisy are unknown in comparison to tuberculous pleurisy and the predominant cell types of pleural effusion were different [ 18 , 19 ]. Most cases revealed a high leukocyte count with a low percentage of lymphocytes and elevated ADA levels in the pleural effusion.…”

Section: Discussionmentioning

confidence: 99%

Thoracic empyema due to nontuberculous mycobacteria in an immunocompetent patient without pulmonary disease: a case report

Luo

et al. 2023

BMC Pulm Med

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Background Pleural involvement by non-tuberculous mycobacteria (NTM), especially NTM empyema in the immunocompetent patient without pulmonary diseases is a rare disease. It is difficult to diagnose with only a few cases of immunodeficient patients in the literature. Case presentation We describe a 63-year-old male with empyema due to NTM and highlight the challenges of diagnosis. Conclusions Non-tuberculous mycobacterial infection should be considered as a cause of pleuritis or empyema without pulmonary disease, however it is a real diagnostic dilemma.

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Pleurisy Caused by <i>Mycobacterium abscessus</i> in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

Cited by 7 publications

References 19 publications

Clinical Relevance and Characteristics of Nontuberculous Mycobacterial Pleuritis

Clinical Relevance and Characteristics of Nontuberculous Mycobacterial Pleuritis

Pleuritis due to Mycobacterium xenopi without pulmonary infection

Thoracic empyema due to nontuberculous mycobacteria in an immunocompetent patient without pulmonary disease: a case report

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