PMID: 24240789Nov 19, 2013Paper

Clinical analysis of patients with pulmonary nontuberculous mycobacterial disease complicated by pneumothorax

Internal Medicine
Yoshihiro KobashiMikio Oka

Abstract

We clarified the clinical characteristics of patients with pulmonary nontuberculous mycobacterial (NTM) disease complicated by pneumothorax. We retrospectively selected 220 patients who satisfied the diagnostic criteria for NTM disease proposed by the American Thoracic Society (ATS). Nine patients with pulmonary NTM disease were complicated with pneumothorax. We investigated the patients' background, laboratory findings, radiological findings, treatment and prognoses. There were nine patients, including six men and three women, with a mean age of 73.2 years. Seven patients had underlying respiratory diseases such as chronic obstructive pulmonary disease (COPD) excluding pulmonary NTM disease. The causative microorganisms was Mycobacterium avium in four patients, M. intracellulare in four patients, and M. kansasii in one patient. Regarding the radiological findings, pneumothorax was recognized in the right lung in five patients, in the left lung in three patients, and in both lungs heterogeneously in one patient. Although most patients exhibited multiple cavities and extensive lesions over the unilateral lung fields, three patients were simultaneously diagnosed with pulmonary NTM disease at the onset of pneumothorax. As for trea...Continue Reading

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Citations

Oct 29, 2015·Tuberculosis and Respiratory Diseases·Ki Yung Boo, Jong Hoo Lee
Sep 14, 2016·Journal of Bronchology & Interventional Pulmonology·Masayuki OkuiTakashi Ohtsuka
Dec 5, 2016·General Thoracic and Cardiovascular Surgery·Masaki IkedaTakuji Fujinaga
Mar 28, 2020·Japanese Journal of Infectious Diseases·Peng WenLiang Dong
Sep 17, 2020·Revista Da Sociedade Brasileira De Medicina Tropical·Laura Raniere Borges Dos AnjosMarcelo Fouad Rabahi

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