Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
An Autopsy Case of Mycobacterium abscessus Pulmonary Infection Complicated with Rheumatoid Arthritis
Kumi FujitaEisaku TanakaKazuhiro HattaYoshiaki KoriYoshio Taguchi
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JOURNALS OPEN ACCESS

2008 Volume 47 Issue 13 Pages 1273-1276

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Abstract

We present the case of a 70-year-old man diagnosed with Mycobacterium abscessus pulmonary infection complicated with rheumatoid arthritis who was treated with corticosteroids. He died despite treatment according to the recommended regimen of imipenem, clarithromycin, and amikacin. Autopsy revealed granulomatous lesions throughout the bilateral lungs. We conclude that M. abscessus infection may have a fatal outcome because of the drug resistance of the pathogen. This case suggests that rheumatoid arthritis might be a risk factor for M. abscessus pulmonary infection, but further studies are necessary for clarification.

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© 2008 by The Japanese Society of Internal Medicine
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