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Original Article
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Korean J Med. 2008;75(4):475-478.
- 증례: 흉수를 동반한 Mycobacterium intracellulare 폐질환
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곽수영 . 배선윤 . 윤원경 . 김민영 . 김윤정 . 최문기 . 고원중, , , , , , ,
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- Mycobacterium intracellulare pulmonary infection accompanied with pleural effusion
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Soo-Yeong Kwak, Sun-Youn Bae, M. D., Won-Kyoung Yun, Min Young Kim, Yoon Jung Kim, Moon Ki Choi, Won-Jung Koh
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Nontuberculous mycobacterial infection is rarely accompanied by pleural involvement. We report a very rare case of
Mycobacterium intracellulare pulmonary disease accompanied with pleural effusion. A 76-year-old man was admitted to
our hospital because of dyspnea. A chest radiograph and CT showed bilateral bronchiectasis and bronchopneumonia
accompanied with right pleural effusion. The fluid was lymphocyte-dominant exudative effusion, and microbiological
examinations of the effusion, including staining and culturing, proved negative. However, one month after admission,
subsequent cultures of bronchial washing fluid revealed the presence of M. intracellulare. The patient's effusion was
gradually resolved with antibiotic treatment, including clarithromycin. (Korean J Med 75:475-478, 2008)
Keywords :Mycobacterium avium complex, Mycobacterium avium-intracellulare infection, Plural effusion
