A Pitfall of Treatment with Tosufloxacin for Pneumonia That Might Be Lung Tuberculosis

Tosufloxacin, which is not used to treat Mycobacterium tuberculosis, is a fluoroquinolone recommended for pneumonia when the possibility of tuberculosis infection cannot be excluded. In the present case, symptoms and chest infiltrative shadow initially improved by tosufloxacin. Therefore, we regarde...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Internal Medicine 2019/01/15, Vol.58(2), pp.263-266
Hauptverfasser: Fujishima, Nobuhiro, Komiya, Kosaku, Matsunaga, Naoko, Usagawa, Yuko, Yamasue, Mari, Hashinaga, Kazuhiko, Umeki, Kenji, Nureki, Shin-ichi, Ando, Masaru, Matsunaga, Terufumi, Kadota, Jun-ichi
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Tosufloxacin, which is not used to treat Mycobacterium tuberculosis, is a fluoroquinolone recommended for pneumonia when the possibility of tuberculosis infection cannot be excluded. In the present case, symptoms and chest infiltrative shadow initially improved by tosufloxacin. Therefore, we regarded this patient as having general pneumonia and did not perform follow-up chest X-ray until the infiltrates had completely disappeared. However, a few weeks later, the symptoms and the infiltrates had worsened, so M. tuberculosis was isolated from the patient's sputum. This case suggests that patients suspected of having pulmonary tuberculosis should be monitored carefully, even if antibiotics without antituberculous activity are initially effective.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1369-18