Annals of The Japanese Respiratory Society:A case of successful bronchial filling with Endobronchial Watanabe Spigot (EWS<sup>®</sup>) for refractory pneumothorax and pleuritis due to pulmonary <i>Mycobacterium avium</i> complex disease

Abstract

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Article in Japanese

Case Report

A case of successful bronchial filling with Endobronchial Watanabe Spigot (EWS^®) for refractory pneumothorax and pleuritis due to pulmonary Mycobacterium avium complex disease

Yuka Kitaoka^a Mizu Nonaka^a Hitomi Hirano^a Jun Kanazawa^a Takayuki Nakagawa^b Takefumi Saito^a

^aDepartment of Respiratory Medicine, National Hospital Organization Ibarakihigashi National Hospital
^bDepartment of Chest Surgery, National Hospital Organization Ibarakihigashi National Hospital

ABSTRACT

A 68-year-old woman was hospitalized for left pneumothorax and pleural effusion that had developed during chemotherapy for pulmonary Mycobacterium avium complex (MAC) disease. The pneumothorax did not improve with drainage, and bronchial filling with Endobronchial Watanabe Spigot (EWS^®) stopped air leakage. We changed chemotherapy from clarithromycin (CAM) to azithromycin (AZM) and added amikacin (AMK) for 4 months. Currently, there has been no recurrence of pneumothorax, lung lesions have improved, and sputum culture is negative. Bronchial filling and intensification of chemotherapy were considered useful.

KEYWORDS

Pulmonary Mycobacterium avium complex disease Pneumothorax Pleuritis Amikacin (AMK)

Received 18 Feb 2021 ／ Accepted 2 Apr 2021

AJRS, 10(4): 330-333, 2021

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Case Report

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