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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case of refractory prolonged pneumothorax with pleuritic resulting from pulmonary Mycobacterium avium complex

Hisao Mizutania, *  Kiyoshi Matsuob  Hiroshi Yaginumaa 

aDepartment of Thoracic Surgery, Ako Central Hospital
bUeoka Clinic
*Present address: Department of Thoracic Surgery, Japanese Red Cross Society Himeji Hospital

ABSTRACT

This case involved a 75-year-old woman. The patient was referred to our hospital for treatment of a prolonged pneumothorax with pleural effusion. We diagnosed her with a secondary spontaneous pneumothorax with pleuritis as a result of pulmonary Mycobacterium avium complex (MAC) infection. The pleuritis began adverse effects on the expansion of the lung, and the pneumothorax was not cured by drainage or thoracoscopic surgery. Therefore we decided to perform an endobronchial embolization with Endobronchial Watanabe Spigots. Air leakage from the lung stopped immediately after the procedure; however, the lung was unable to inflate anymore. The patient developed chronic respiratory failure complicated with pneumonia. She died one year and two months later. Because the prognosis of pulmonary MAC infection combined with pneumothorax and pleuritis is poor, it should be diagnosed and treated rapidly.

KEYWORDS

Mycobacterium avium complex  Pneumothorax  Pleuritis  Endobronchial Watanabe Spigots 

Received 16 Mar 2016 / Accepted 28 Jul 2016

AJRS, 5(6): 331-335, 2016

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