A resected case of Mycobacterium szulgai pulmonary disease
Abstract:We present the first reported case of Mycobacterium szulgai pulmonary disease that needed surgical resection due to unsuccessful antimycobacterial chemotherapy. The patient was a non-immunocompromised 48-year-old male who presented with hemoptysis and whose sputum cultures repeatedly yielded M. szulgai. Antimycobacterial chemotherapy with isoniazid (INH) and rifampin (RMP)/ethambutol (EMB) for three years had been unsuccessful, and subsequent chemotherapy with RMP, EMB, ethionamide and kanamycin had to be discontinued due to liver dysfunction. Surgical resection was finally performed, and resulted in a favorable outcome. Although M. szulgai pulmonary disease is usually well controlled by antimycobacterial chemotherapy alone, surgical treatment may be necessary in some cases.
Document Type: Short Communication
Affiliations: 1: Department of Infection and Inflammation, Chest Disease Research Institute, Kyoto University, Kyoto, Japan 2: Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University, Kyoto, Japan
Publication date: 1998-03-01
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