2015 Volume 29 Issue 6 Pages 732-736
Myocobacterium abscessus infection is a rare, rapidly growing mycobacterial infection in Japan, associated with a poor prognosis because of its rapid progression and resistance to many antibiotic drugs. A 62-year-old woman, who had a history of bronchiectasis for 40 years, was diagnosed with pulmonary M. abscessus infection on sputum culture. Despite multidrug treatment for one year, bacillus discharge continued and the disease was uncontrollable. We performed a combined resection of the left lower lobe and S4+5 segments, a likely source of bacterial excretion. She had a late-onset lung fistula, and we performed latissimus dorsi muscle flap patch closure of the fistula. Now, at more than 3 years after lung resection, no recurrence has been observed.
