Surgical treatment of atypical Mycobacterium intracellulare infection with chronic empyema: A case report

Kotani, Kazutoshi; Hirose, Yoshinaru; Endo, Shigeto; Yamamoto, Hiroshi; Makihara, Seiichiro

doi:10.1016/j.jtcvs.2005.02.054

Cited by 12 publications

(13 citation statements)

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“…In addition, two cases of chronic empyema due to MAC were reported and these cases were managed with surgical treatment including pleuropneumonectomy or thoracoplasty (20,21 (22). In the present case, F i g u r e 1 .…”

Section: Although the Clinical And Radiological Features Of Ntm Infecmentioning

confidence: 67%

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

et al. 2006

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Section: Although the Clinical And Radiological Features Of Ntm Infecmentioning

confidence: 67%

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

et al. 2006

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“…In patients with chronic empyema, conventional staged surgery consisting of thoracic fenestration followed by space-fi lling and/or collapse procedures is effective. 3 However, in those with acute empyema, thoracic fenestration can cause lung collapse and can make empyema space localization diffi cult. Extrapleural pneumonectomy is the most radical procedure available to eradicate both pleural and lung lesions, but it is not indicated in a high-risk surgical patient because it is associated with a relatively high morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Acute empyema with air leak due to rupture of an NTM lung lesion is one of the most complex situations encountered when treating patients with NTM lung disease. Here, we describe a case of acute empyema with intractable pneumothorax associated with a ruptured lung abscess caused by Mycobacterium avium.…”

Section: Introductionmentioning

confidence: 99%

Acute empyema with intractable pneumothorax associated with ruptured lung abscess caused by Mycobacterium avium

Asai

Urabe

2011

Gen Thorac Cardiovasc Surg

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Nontuberculous mycobacterial lung disease rarely features pleural involvement. Therapeutic strategies for this situation have not been well established. We present a case of acute empyema with intractable pneumothorax associated with ruptured lung abscess caused by Mycobacterium avium in an immunocompromised patient. Combined treatment that included multidrug antibiotic therapy and nonresectional surgery resulted in a good outcome.

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“…Some studies reported cases of disseminated M. avium complex complicated by NTM pleuritis in immunocompromised patients [14,15], and other cases of NTM pleuritis were reported in immunocompetent cases [16][17][18][19][20][21][22]. In the previous studies, the frequency of pleural effusion in patients with NTM infection was reported to be 3.4-6% [23,24], although those reports did not state whether mycobacterial organisms were isolated from the pleural effusion.…”

Section: Introductionmentioning

confidence: 99%

Clinical Features and Prognosis of Nontuberculous Mycobacterial Pleuritis

et al. 2018

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Background: While nontuberculous mycobacterial (NTM) pleuritis rarely complicates pulmonary NTM infection, high mortality has been reported in case reports and small studies. Objectives: The purpose of this study was to clarify the clinical features and treatment outcomes of pulmonary NTM infection cases accompanied by NTM pleuritis. Methods: Medical records of 1,044 patients with pulmonary NTM disease were retrospectively reviewed to select patients complicated by NTM-proven pleuritis. We investigated clinical characteristics, pathogens, pleural effusion examinations, radiographic findings, treatments, and clinical course of the NTM pleuritis patients. Results: Among 1,044 cases with pulmonary NTM, NTM pleuritis occurred in 15 cases (1.4%). The mean age was 69 years with a performance status of mostly 2 or better (80.0%), and 6 cases (40.0%) were complicated by pneumothorax. Subpleural cavities were radiologically detected in 11 cases (73.3%), and extrapulmonary air-fluid level was detected in 14 cases (93.3%). Eleven patients were treated with combinations of 2–4 antimycobacterial drugs, including clarithromycin, and 2 patients were treated with isoniazid, rifampicin, and ethambutol. Chest tube drainage was performed in 11 cases, and surgical approach was added in 6 cases. The pleural effusion of 2 patients treated with only antimycobacterial medications gradually deteriorated. Two patients died from NTM pleuritis, and 1 patient died from pneumonitis during a mean of 1.8 years of follow-up. Conclusions: Comorbid NTM pleuritis was difficult to treat by medical therapy alone and resulted in a poor prognosis. In addition to antimycobacterial agents, chest tube drainage and surgical procedures in the early stages should be considered to treat NTM pleuritis.

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Surgical treatment of atypical Mycobacterium intracellulare infection with chronic empyema: A case report

Cited by 12 publications

References 0 publications

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

Acute empyema with intractable pneumothorax associated with ruptured lung abscess caused by Mycobacterium avium

Clinical Features and Prognosis of Nontuberculous Mycobacterial Pleuritis

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