The First Case of Mycobacterium interjectum Pulmonary Disease in Japan

We herein report a case of Mycobacterium interjectum pulmonary disease (M. interjectum-PD) that improved considerably after azithromycin (AZM), rifampicin (RFP), and ethambutol (EB) therapy. A 69-year-old woman, managed locally for suspected NTM-PD based on chest computed tomography (CT) findings wa...

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Veröffentlicht in:Internal Medicine 2024/09/01, Vol.63(17), pp.2461-2465
Hauptverfasser: Yamaguchi, Asuka, Urabe, Naohisa, Tokita, Nozomi, Sasaki, Masakazu, Iizuka, Noboru, Sakamoto, Susumu, Kishi, Kazuma
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container_end_page 2465
container_issue 17
container_start_page 2461
container_title Internal Medicine
container_volume 63
creator Yamaguchi, Asuka
Urabe, Naohisa
Tokita, Nozomi
Sasaki, Masakazu
Iizuka, Noboru
Sakamoto, Susumu
Kishi, Kazuma
description We herein report a case of Mycobacterium interjectum pulmonary disease (M. interjectum-PD) that improved considerably after azithromycin (AZM), rifampicin (RFP), and ethambutol (EB) therapy. A 69-year-old woman, managed locally for suspected NTM-PD based on chest computed tomography (CT) findings was referred to our hospital for worsening productive cough six years after the initial diagnosis. High-resolution chest CT showed right middle and left lower lobe bronchiectasis with middle and centrilobular nodules. Bronchial washing and sputum culture yielded M. interjectum. Treatment with AZM, RFP, and EB resulted in sputum culture conversion, and the chest CT findings subsequently improved. This is the first reported case of M. interjectum-PD in Japan.
doi_str_mv 10.2169/internalmedicine.2934-23
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subjects Aged
Azithromycin
Azithromycin - therapeutic use
Bronchiectasis
Case Report
Case reports
Chest
Computed tomography
Cough
Ethambutol
Ethambutol - therapeutic use
Female
Humans
Japan
Lung diseases
Lung Diseases - diagnosis
Lung Diseases - diagnostic imaging
Lung Diseases - drug therapy
Lung Diseases - microbiology
Mycobacterium
Mycobacterium Infections, Nontuberculous - diagnosis
Mycobacterium Infections, Nontuberculous - drug therapy
Mycobacterium Infections, Nontuberculous - microbiology
Mycobacterium interjectum
nontuberculous mycobacterial pulmonary disease
rifampicin
Rifampin
Rifampin - therapeutic use
Sputum
Tomography, X-Ray Computed
title The First Case of Mycobacterium interjectum Pulmonary Disease in Japan
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