Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Pulmonary Mycobacterium massiliense Disease with Septicemia during Immunosuppressive Treatment
Yoshihiro KobashiKeiji MouriYasushi ObaseNaoyuki MiyashitaKazue NakanagaMikio Oka
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JOURNAL OPEN ACCESS

2011 Volume 50 Issue 9 Pages 1069-1073

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Abstract

A 75-year-old man with interstitial pneumonia due to ANCA-related vasculitis requiring immunosuppressive treatment was admitted to our hospital because of fever and rapidly progressive dyspnea. Chest CT showed diffuse ground-glass opacity with infiltration shadow in the bilateral lungs. We established a definitive diagnosis by isolating Mycobacterium massiliense on culture examination of acid-fast bacilli from peripheral blood and sputum. We began to administer CAM, LVFX, AMK, IPM/CS to this patient two weeks after admission. However, he died of respiratory failure and septic shock. There are few case reports of pulmonary lesion with septicemia due to Mycobacterium massiliense.

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© 2011 by The Japanese Society of Internal Medicine
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