Pleurisy Caused by Mycobacterium abscessus in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

Shingo Noguchi; Kentaro Hanami; Hiroko Miyata; Ryo Torii; Ikuko Shimabukuro; Satoshi Kubo; Hideto Obata; Chiharu Yoshii; Kazuhiro Yatera

doi:10.2169/internalmedicine.9537-17

CASE REPORTS

Pleurisy Caused by Mycobacterium abscessus in a Young Patient with Dermatomyositis: A Case Report and Brief Review of the Literature

Shingo Noguchi, Kentaro Hanami, Hiroko Miyata, Ryo Torii, Ikuko Shimabukuro, Satoshi Kubo, Hideto Obata, Chiharu Yoshii, Kazuhiro Yatera

Author information

Shingo Noguchi
Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Kentaro Hanami
The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Hiroko Miyata
The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Ryo Torii
Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Ikuko Shimabukuro
Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Satoshi Kubo
The First Department of Internal Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Hideto Obata
Department of Respiratory Medicine, Yamaguchi-ken Saiseikai Shimonoseki General Hospital, Japan
Chiharu Yoshii
Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
Kazuhiro Yatera
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan

Keywords: Mycobacterium abscessus, pleurisy, dermatomyositis

JOURNAL OPEN ACCESS

2018 Volume 57 Issue 7 Pages 997-1002

DOI https://doi.org/10.2169/internalmedicine.9537-17

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Abstract

M. abscessus is a rapidly growing mycobacteria (RGM) and is the most common cause of pulmonary RGM infection. M. abscessus pleurisy is extremely rare. We herein report the case of a young patient with M. abscessus pleurisy without any lung lesions. A laboratory analysis of the pleural effusion revealed lymphocyte predominance and increased adenosine deaminase, similar to the findings observed in tuberculous pleurisy. The patient was initially treated for tuberculous pleurisy, which resulted in the partial improvement of the patient's symptoms and pleural effusion. M. abscessus pleurisy should be considered, especially in immunocompromised individuals, even in the absence of pulmonary involvement.

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