Pleurisy Caused by Mycobacterium abscessus in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

M. abscessus is a rapidly growing mycobacteria (RGM) and is the most common cause of pulmonary RGM infection. M. abscessus pleurisy is extremely rare. We herein report the case of a young patient with M. abscessus pleurisy without any lung lesions. A laboratory analysis of the pleural effusion revea...

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Bibliographic Details
Published in:Internal Medicine 2018/04/01, Vol.57(7), pp.997-1002
Main Authors: Noguchi, Shingo, Hanami, Kentaro, Miyata, Hiroko, Torii, Ryo, Shimabukuro, Ikuko, Kubo, Satoshi, Obata, Hideto, Yoshii, Chiharu, Yatera, Kazuhiro
Format: Article
Language:English
Subjects:
Adenosine
Adenosine deaminase
Case Report
Dermatomyositis
Internal medicine
Lesions
Literature reviews
Lungs
Mycobacterium abscessus
Pleural effusion
Pleurisy
Tuberculosis
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Summary:M. abscessus is a rapidly growing mycobacteria (RGM) and is the most common cause of pulmonary RGM infection. M. abscessus pleurisy is extremely rare. We herein report the case of a young patient with M. abscessus pleurisy without any lung lesions. A laboratory analysis of the pleural effusion revealed lymphocyte predominance and increased adenosine deaminase, similar to the findings observed in tuberculous pleurisy. The patient was initially treated for tuberculous pleurisy, which resulted in the partial improvement of the patient's symptoms and pleural effusion. M. abscessus pleurisy should be considered, especially in immunocompromised individuals, even in the absence of pulmonary involvement.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.9537-17