Full Text of PDF (401k)
Article in Japanese
Abstract
Case Report
A case of non-tuberculous mycobacterial pulmonary disease that recurred during pregnancy and was therefore difficult to detect early
Hideto Oshita Asami Inoue Yuka Sano Koji Yoshioka Yasuhiko Ikegami Naoki Yamaoka
Department of Respiratory Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital
ABSTRACT
A 45-year-old woman undergoing treatment for rheumatoid arthritis had been on multi-drug therapy for pulmonary Mycobacterium intracellulare disease about 3 and a half years earlier. She became aware of productive cough after giving birth. Chest computed tomography scan revealed multiple granular and branching shadows in both lungs, and M. intracellulare was re-detected in her sputum. She had had multiple risk factors such as rheumatoid arthritis, a history of long-term treatment with anti-tumor necrosis factor drugs and corticosteroids, and low body weight, and her case had required attention for recurrence of non-tuberculous mycobacterial pulmonary disease (NTM-PD). However, the detection of recurrence was delayed because radiological investigation was not performed during pregnancy. Perinatal management of NTM-PD is an important clinical issue.
KEYWORDS
Non-tuberculous mycobacterial pulmonary disease (NTM-PD) Pregnancy Rheumatoid arthritis Low weight
Received 9 Jan 2024 ／ Accepted 15 Mar 2024
AJRS, 13(4): 165-169, 2024
Copyright © The Japanese Respiratory Society All Rights Reserved.