Yamoto Mako, Kawagishi Yukio, Murata Akari, Tsuji Hiroshi
Respiratory Medicine, Kurobe City Hospital, Kurobe, Japan.
Internal Medicine, Kamitaira Clinic, Nanto, Japan.
BMJ Case Rep. 2018 Feb 8;2018:bcr-2017-222439. doi: 10.1136/bcr-2017-222439.
We report two cases of pleurisy caused by non-tuberculous mycobacteria followed by pneumothorax. The onset of pleurisy was accompanied by acute fever. Cultured samples of the pleural effusions from the two patients, an 80-year-old man and an 87-year-old woman, were ultimately found to contain and , respectively. Both patients were initially administered antibiotics, but their fevers persisted. Therefore, different combinations of antimycobacterial drugs were used, which reduced the fever in a few days. In these patients, pleurisy caused by non-tuberculous mycobacteria followed by pneumothorax was characterised by acute fever and improvement in the fever after administration of antimycobacterial drugs; however, the aetiology remains to be clarified.
我们报告了两例由非结核分枝杆菌引起胸膜炎后并发气胸的病例。胸膜炎起病时伴有急性发热。对两名患者（一名80岁男性和一名87岁女性）的胸腔积液培养样本最终分别发现含有[具体菌种1]和[具体菌种2]。两名患者最初均接受了抗生素治疗，但发热持续。因此，使用了不同组合的抗分枝杆菌药物，几天后发热有所减轻。在这些患者中，由非结核分枝杆菌引起胸膜炎后并发气胸的特点是急性发热以及使用抗分枝杆菌药物后发热有所改善；然而，病因仍有待阐明。
