Ishiguro Takashi, Takayanagi Noboru, Saito Hiroo, Ubukata Mikio, Yanagisawa Tsutomu, Sugita Yutaka
Respiratory Medicine, Saitama Cardiovascular and Respiratory Center.
Nihon Kokyuki Gakkai Zasshi. 2010 Feb;48(2):151-6.
We encountered 2 cases of Mycobacterium avium complex pleuritis. One case was a 68-year-old woman suffering from rheumatoid arthritis, treated with steroids. She presented to our hospital with dyspnea, which improved after a chest tube insertion and the administration of rifampicin, ethambutol, clarithromycin, and streptomycin. In the other case, a 71-year-old man suffering from nephritic syndrome and who had been treated with steroids presented to our hospital with low-grade fever and dyspnea. He improved after therapeutic thoracentesis and clarithromycin administration. Only 6 cases of Mycobacterium avium complex pleuritis have been reported; because it is rare, the characteristics and prognosis of the disease remain unknown. We report 2 cases and review 6 previous reports of Mycobacterium avium complex pleuritis.
我们遇到了2例鸟分枝杆菌复合群胸膜炎病例。1例为68岁患有类风湿性关节炎且接受类固醇治疗的女性。她因呼吸困难前来我院就诊，在插入胸管并给予利福平、乙胺丁醇、克拉霉素和链霉素后病情好转。另一例为71岁患有肾病综合征且接受类固醇治疗的男性，因低热和呼吸困难前来我院就诊。在进行治疗性胸腔穿刺和给予克拉霉素后他病情好转。仅报告过6例鸟分枝杆菌复合群胸膜炎病例；由于该病罕见，其特征和预后仍不清楚。我们报告2例病例并回顾之前6例鸟分枝杆菌复合群胸膜炎的报告。
