キクチ ケン   Kikuchi Ken
  菊池 賢
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
掲載誌名 正式名:Respiratory Medicine Case Reports
略  称:Respir Med Case Rep
ISSNコード:2213-0071
掲載区分国外
出版社 Science Direct
巻・号・頁 46,pp.101941
総ページ数 4
著者・共著者 Nishizawa Yoko†, Katsura Hideki*, Sasaki yuka, Kudo Ryoma, Kizuki Aki, Horimoto Ai, Ishikawa Motonao, Takagi Kae, Kikuchi Ken, Sakura Hiroshi, Nitta Kosaku, Hoshino Junichi, Ogawa Tetsuya
発行年月 2023/11/05
概要 Mycobacterium abscessus subsp. abscessus (MABA) is refractory and sometimes fatal especially in an immunocompromised patient. Also, MABA-associated pneumothorax is an extremely rare complication. We report a case of MABA pulmonary infection complicated pneumothorax treated successfully. A 69-year-old Japanese female with immunosuppressed systemic sclerosis-associated interstitial lung disease experienced left-sided secondary spontaneous pneumothorax. MABA was detected in the pleural effusion and blood culture. Microbial sensitivity test showed the MABA was sensitive to only amikacin, sitafloxacin, and clofazimine. Combination therapy with these antibiotics including azithromycin achieved remission within three weeks. In the treatment of MABA infection, compliance with microbial sensitivity test is crucial.
DOI 10.1016/j.rmcr.2023.101941
PMID 38025248