KIKUCHI Ken
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Secondary spontaneous pneumothorax in a patient with resistant Mycobacterium abscessus infection and systemic sclerosis-associated interstitial lung disease: A case report
Journal Formal name:Respiratory Medicine Case Reports
Abbreviation:Respir Med Case Rep
ISSN code:2213-0071
Domestic / ForeginForegin
Publisher Science Direct
Volume, Issue, Page 46,pp.101941
Total page number 4
Author and coauthor 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
Publication date 2023/11/05
Summary 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