Fukumoto Jutaro, Inoshima Ichiro, Fujita Masaki, Kuwano Kazuyoshi, Nakanishi Yoichi
Research Institute for Disease of the Chest, Graduate School of Medical Science, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582 Japan.
Kekkaku. 2005 Aug;80(8):571-5.
A 74 year-old female complaining of increased cough and sputum was admitted to our hospital on June 14th 2004. She had been diagnosed as Mycobacterium intracellulare (M. intracellurare) infection since 2002 and had been treated from March to October 2003 in the Department of General Medicine in our hospital. Chest CT on admission showed diffuse small nodular shadows in the lung, a cavity, pneumothorax, and pleural effusion in the right lung. The sputum smear was positive for acid-fast bacilli and sputum PCR examination was positive for M. intracellulare. She was diagnosed as the recurrence of non-tuberculous mycobacterium (NTM) infection and treatment of NTM infection was started. No other infections were suspected and the pneumothorax and pleural effusion gradually improved with the treatment. We concluded that the pneumothorax and pleural effusion were caused by NTM infection. Since pneumothorax is an extremely rare complication in NTM infections we thought it is worth-while to report our case.
一名74岁女性因咳嗽和咳痰增多前来就诊，于2004年6月14日入住我院。自2002年起，她被诊断为细胞内分枝杆菌（M. intracellurare）感染，并于2003年3月至10月在我院普通内科接受治疗。入院时胸部CT显示肺部弥漫性小结节影、一个空洞、气胸以及右肺胸腔积液。痰涂片抗酸杆菌阳性，痰PCR检查细胞内分枝杆菌阳性。她被诊断为非结核分枝杆菌（NTM）感染复发，并开始接受NTM感染治疗。未怀疑有其他感染，气胸和胸腔积液在治疗过程中逐渐好转。我们得出结论，气胸和胸腔积液是由NTM感染引起的。由于气胸在NTM感染中是一种极其罕见的并发症，我们认为报告我们的病例是值得的。
