Mycobacterium avium complex pleuritis accompanied by diabetes mellitus
A 72-year-old woman with diabetic nephropathy was hospitalized with peripheral edema in the extremities and weight increase. After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lun...
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| Veröffentlicht in: | Diabetes research and clinical practice 2000-05, Vol.48 (2), p.99-104 |
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| creator | Nagaia, Takashi Akiyama, Masato Mita, Yoshinori Tomizawa, Takashi Dobashi, Kunio Mori, Masatomo |
| description | A 72-year-old woman with diabetic nephropathy was hospitalized with peripheral edema in the extremities and weight increase. After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lung field. A plain chest X-ray film showed pleural effusion over the left lung field. The fluid was exudative. Fluid cultures were negative. A tuberculin reaction was negative. Polymerase chain reaction method disclosed mycobacterium avium complex, indicating rare pleuritis due to mycobacterium avium complex. Eighteen days after chemotherapy, pleural effusion disappeared. Although her hemoglobin A1c (HbA1c) levels were maintained from 6.0 to 6.5% over 4 years, urinary albumin excretion levels and serum creatinine levels increased, indicating deteriorating diabetic nephropathy. Serum albumin levels remained low (3.3–3.6 g/dl). Malnutrition, impaired cellular immunity and apparently abnormal microvascular circulation due to diabetes mellitus may consequently have induced pleuritis due to mycobacterium avium complex. |
| doi_str_mv | 10.1016/S0168-8227(99)00145-X |
| format | Article |
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After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lung field. A plain chest X-ray film showed pleural effusion over the left lung field. The fluid was exudative. Fluid cultures were negative. A tuberculin reaction was negative. Polymerase chain reaction method disclosed mycobacterium avium complex, indicating rare pleuritis due to mycobacterium avium complex. Eighteen days after chemotherapy, pleural effusion disappeared. Although her hemoglobin A1c (HbA1c) levels were maintained from 6.0 to 6.5% over 4 years, urinary albumin excretion levels and serum creatinine levels increased, indicating deteriorating diabetic nephropathy. Serum albumin levels remained low (3.3–3.6 g/dl). Malnutrition, impaired cellular immunity and apparently abnormal microvascular circulation due to diabetes mellitus may consequently have induced pleuritis due to mycobacterium avium complex.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/S0168-8227(99)00145-X</identifier><identifier>PMID: 10802146</identifier><identifier>CODEN: DRCPE9</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Aged ; Antitubercular Agents - therapeutic use ; Associated diseases and complications ; Biological and medical sciences ; Cardiomegaly - diagnostic imaging ; Cehular immunity ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - urine ; Diabetes. Impaired glucose tolerance ; Diabetic Nephropathies - complications ; Diabetic nephropathy ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Female ; Humans ; Malnutrition ; Medical sciences ; Microvascular circulation ; Mycobacterium avium Complex - isolation & purification ; Mycobacterium avium-intracellulare Infection - complications ; Mycobacterium avium-intracellulare Infection - diagnosis ; Mycobacterium avium-intracellulare Infection - drug therapy ; Pleurisy - diagnostic imaging ; Pleurisy - etiology ; Pleurisy - microbiology ; Radiography, Thoracic</subject><ispartof>Diabetes research and clinical practice, 2000-05, Vol.48 (2), p.99-104</ispartof><rights>2000 Elsevier Science Ireland Ltd</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-18670308589c53ad32ed021ec26eb7acbb7b4c40e5e6ecf36c5849a29361b5b43</citedby><cites>FETCH-LOGICAL-c456t-18670308589c53ad32ed021ec26eb7acbb7b4c40e5e6ecf36c5849a29361b5b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016882279900145X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1355516$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10802146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagaia, Takashi</creatorcontrib><creatorcontrib>Akiyama, Masato</creatorcontrib><creatorcontrib>Mita, Yoshinori</creatorcontrib><creatorcontrib>Tomizawa, Takashi</creatorcontrib><creatorcontrib>Dobashi, Kunio</creatorcontrib><creatorcontrib>Mori, Masatomo</creatorcontrib><title>Mycobacterium avium complex pleuritis accompanied by diabetes mellitus</title><title>Diabetes research and clinical practice</title><addtitle>Diabetes Res Clin Pract</addtitle><description>A 72-year-old woman with diabetic nephropathy was hospitalized with peripheral edema in the extremities and weight increase. After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lung field. A plain chest X-ray film showed pleural effusion over the left lung field. The fluid was exudative. Fluid cultures were negative. A tuberculin reaction was negative. Polymerase chain reaction method disclosed mycobacterium avium complex, indicating rare pleuritis due to mycobacterium avium complex. Eighteen days after chemotherapy, pleural effusion disappeared. Although her hemoglobin A1c (HbA1c) levels were maintained from 6.0 to 6.5% over 4 years, urinary albumin excretion levels and serum creatinine levels increased, indicating deteriorating diabetic nephropathy. Serum albumin levels remained low (3.3–3.6 g/dl). Malnutrition, impaired cellular immunity and apparently abnormal microvascular circulation due to diabetes mellitus may consequently have induced pleuritis due to mycobacterium avium complex.</description><subject>Aged</subject><subject>Antitubercular Agents - therapeutic use</subject><subject>Associated diseases and complications</subject><subject>Biological and medical sciences</subject><subject>Cardiomegaly - diagnostic imaging</subject><subject>Cehular immunity</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - urine</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Nephropathies - complications</subject><subject>Diabetic nephropathy</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>Humans</subject><subject>Malnutrition</subject><subject>Medical sciences</subject><subject>Microvascular circulation</subject><subject>Mycobacterium avium Complex - isolation & purification</subject><subject>Mycobacterium avium-intracellulare Infection - complications</subject><subject>Mycobacterium avium-intracellulare Infection - diagnosis</subject><subject>Mycobacterium avium-intracellulare Infection - drug therapy</subject><subject>Pleurisy - diagnostic imaging</subject><subject>Pleurisy - etiology</subject><subject>Pleurisy - microbiology</subject><subject>Radiography, Thoracic</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFLwzAYhoMobk5_gtKDiB6qSduk7UlkOBUmHlTYLSRfv0KkXWfSDvfvTdeh3ry8gY_nS948hJwyes0oEzevPrIwi6L0Ms-vKGUJDxd7ZMyyNNqO98n4BxmRI-c-KKUiTvghGTGa0YglYkxmzxtotIIWrenqQK37hKZeVfgV-OisaY0LFPQztTRYBHoTFEZpbNEFNVaVaTt3TA5KVTk82Z0T8j67f5s-hvOXh6fp3TyEhIs2ZJlIaUwznuXAY1XEERa-CEIkUKcKtE51AglFjgKhjAXwLMlVlMeCaa6TeEIuhntXtvns0LWyNg58CbXEpnMyZTTn_o8e5AMItnHOYilX1tTKbiSjshcotwJlb0fmudwKlAu_d7Z7oNM1Fn-2BmMeON8ByoGqSquWYNwvF3POWY_dDhh6G2uDVjowuAQsjEVoZdGYf5p8A7f6jXg</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Nagaia, Takashi</creator><creator>Akiyama, Masato</creator><creator>Mita, Yoshinori</creator><creator>Tomizawa, Takashi</creator><creator>Dobashi, Kunio</creator><creator>Mori, Masatomo</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>Mycobacterium avium complex pleuritis accompanied by diabetes mellitus</title><author>Nagaia, Takashi ; Akiyama, Masato ; Mita, Yoshinori ; Tomizawa, Takashi ; Dobashi, Kunio ; Mori, Masatomo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-18670308589c53ad32ed021ec26eb7acbb7b4c40e5e6ecf36c5849a29361b5b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Antitubercular Agents - therapeutic use</topic><topic>Associated diseases and complications</topic><topic>Biological and medical sciences</topic><topic>Cardiomegaly - diagnostic imaging</topic><topic>Cehular immunity</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - urine</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Nephropathies - complications</topic><topic>Diabetic nephropathy</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>Humans</topic><topic>Malnutrition</topic><topic>Medical sciences</topic><topic>Microvascular circulation</topic><topic>Mycobacterium avium Complex - isolation & purification</topic><topic>Mycobacterium avium-intracellulare Infection - complications</topic><topic>Mycobacterium avium-intracellulare Infection - diagnosis</topic><topic>Mycobacterium avium-intracellulare Infection - drug therapy</topic><topic>Pleurisy - diagnostic imaging</topic><topic>Pleurisy - etiology</topic><topic>Pleurisy - microbiology</topic><topic>Radiography, Thoracic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagaia, Takashi</creatorcontrib><creatorcontrib>Akiyama, Masato</creatorcontrib><creatorcontrib>Mita, Yoshinori</creatorcontrib><creatorcontrib>Tomizawa, Takashi</creatorcontrib><creatorcontrib>Dobashi, Kunio</creatorcontrib><creatorcontrib>Mori, Masatomo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagaia, Takashi</au><au>Akiyama, Masato</au><au>Mita, Yoshinori</au><au>Tomizawa, Takashi</au><au>Dobashi, Kunio</au><au>Mori, Masatomo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mycobacterium avium complex pleuritis accompanied by diabetes mellitus</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2000-05-01</date><risdate>2000</risdate><volume>48</volume><issue>2</issue><spage>99</spage><epage>104</epage><pages>99-104</pages><issn>0168-8227</issn><eissn>1872-8227</eissn><coden>DRCPE9</coden><abstract>A 72-year-old woman with diabetic nephropathy was hospitalized with peripheral edema in the extremities and weight increase. After diuretics and human serum albumin administration, her condition improved. From the 15th day she had run a subfever and her breathing was diminished in the left lower lung field. A plain chest X-ray film showed pleural effusion over the left lung field. The fluid was exudative. Fluid cultures were negative. A tuberculin reaction was negative. Polymerase chain reaction method disclosed mycobacterium avium complex, indicating rare pleuritis due to mycobacterium avium complex. Eighteen days after chemotherapy, pleural effusion disappeared. Although her hemoglobin A1c (HbA1c) levels were maintained from 6.0 to 6.5% over 4 years, urinary albumin excretion levels and serum creatinine levels increased, indicating deteriorating diabetic nephropathy. Serum albumin levels remained low (3.3–3.6 g/dl). Malnutrition, impaired cellular immunity and apparently abnormal microvascular circulation due to diabetes mellitus may consequently have induced pleuritis due to mycobacterium avium complex.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>10802146</pmid><doi>10.1016/S0168-8227(99)00145-X</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Antitubercular Agents - therapeutic use Associated diseases and complications Biological and medical sciences Cardiomegaly - diagnostic imaging Cehular immunity Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - urine Diabetes. Impaired glucose tolerance Diabetic Nephropathies - complications Diabetic nephropathy Endocrine pancreas. Apud cells (diseases) Endocrinopathies Female Humans Malnutrition Medical sciences Microvascular circulation Mycobacterium avium Complex - isolation & purification Mycobacterium avium-intracellulare Infection - complications Mycobacterium avium-intracellulare Infection - diagnosis Mycobacterium avium-intracellulare Infection - drug therapy Pleurisy - diagnostic imaging Pleurisy - etiology Pleurisy - microbiology Radiography, Thoracic |
| title | Mycobacterium avium complex pleuritis accompanied by diabetes mellitus |
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