The frequency and treatment of pneumothorax associated with pulmonary nontuberculous mycobacterial infection

General Thoracic and Cardiovascular Surgery
Masaki IkedaTakuji Fujinaga

Abstract

Characteristics of pneumothorax associated with nontuberculous mycobacterium (NTM) infection are rarely reported, especially in terms of surgical treatments. Our objectives were to show the tendency and clinical courses of pneumothorax due to NTM and discuss the way of therapy in our hospital. We retrospectively analyzed 557 patients with NTM infection over a period of 5 years at the Nagara Medical Center. A total of 12 out of the 557 patients (2.2%) suffered from pneumothorax caused by NTM infection without other pulmonary diseases. The diagnosis of all NTM cases was mycobacterium avium complex. Of these 12 patients, three required observation only (25%), five required drainage only (42%), and four required surgery after drainage (33%). The four surgically treated patients suffered from empyema as well as pneumothorax. They were in worse nutritional condition than non-surgically treated patients. For the patients requiring surgery, we selected reasonable surgical methods; we sutured the fistula of lung in all cases and covered it with muscle or omentum or polyglycolic acid sheets without a case in which endobronchial embolization was performed in advance before surgery. Finally, all pneumothorax healed. Thereafter, three of th...Continue Reading

References

Oct 1, 1996·The European Respiratory Journal·S AktoğuS M Dereli
Feb 6, 2007·American Journal of Respiratory and Critical Care Medicine·David E GriffithUNKNOWN Infectious Disease Society of America
Sep 14, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Katsunari MatsuokaYoshihiro Miyamoto

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Citations

Mar 6, 2018·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·Katsutoshi AndoMasahiro Akishita
Mar 28, 2020·Japanese Journal of Infectious Diseases·Peng WenLiang Dong

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