Mycobacterium avium complex pleuritis accompanied by diabetes mellitus

Nagaia, Takashi; Akiyama, Masato; Mita, Yoshinori; Tomizawa, Takashi; Dobashi, Kunio; Mori, Masatomo

doi:10.1016/s0168-8227(99)00145-x

Cited by 18 publications

(17 citation statements)

References 15 publications

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“…There have been several reports of NTM disease in diabetic patients, including cutaneous infections with M. chelonae at insulin injection sites [139][140][141][142], MAC pleuritis [143], M. kansasii pneumonia [144], MAC suppurative thyroiditis [145], and flexor tenosynovitis with M. kansasii [146] and M. scrofulaceum [147,148]. Several risk factors for NTM disease, such as CF and corticosteroid use, are also risk factors for diabetes.…”

Section: Diabetes Mellitusmentioning

confidence: 99%

Susceptibility to nontuberculous mycobacterial lung disease

Sexton¹,

Harrison²

2008

European Respiratory Journal

142

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The nontuberculous mycobacteria (NTM) exhibit heterogeneous pathogenicity in humans. Articles on known and potential human factors capable of producing susceptibility to NTM lung disease (NTMLD) were identified by a systematic search of the medical literature, and are reviewed in the present study.Patients with pre-existing structural lung disease are known to be at risk of NTMLD. Other susceptible groups have become recognised since the 1980s, in particular middle-aged nonsmokers without previous lung disease (a group including those with Lady Windermere syndrome) and patients with genetically determined defects of cell-mediated immunity, including abnormalities of the interleukin-12/interferon-c axis, certain human leukocyte antigen alleles, cystic fibrosis transmembrane conductance regulator mutations, and polymorphisms of solute carrier 11A1 (or natural resistance-associated macrophage protein 1) and the vitamin D receptor.Information is also accruing about acquired systemic causes of susceptibility to NTMLD, including inhibitory antibodies directed against interferon-c, post-menopausal waning of endogenous oestrogen levels, coeliac disease and exposure to use of dietary phyto-oestrogens. It is not known whether immunosuppressive factors, such as oral corticosteroid treatment, chronic renal failure, diabetes mellitus and other known risk factors for pulmonary tuberculosis, are also risk factors for the development of NTMLD. Caution is appropriate in managing such patients.

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Section: Diabetes Mellitusmentioning

confidence: 99%

Susceptibility to nontuberculous mycobacterial lung disease

Sexton¹,

Harrison²

2008

European Respiratory Journal

142

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“…There have been a few case reports of pleural effusion caused by NTM such as MAC (10)(11)(12)(13)(14)(15), M. kansasii (16)(17)(18), and M. scrofulaceum (19). In addition, two cases of chronic empyema due to MAC were reported and these cases were managed with surgical treatment including pleuropneumonectomy or thoracoplasty (20,21 (22).…”

Section: Although the Clinical And Radiological Features Of Ntm Infecmentioning

confidence: 99%

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

et al. 2006

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“…Although our case was carefully followed in the outpatient department, the pleural effusion increased rapidly in volume. Previous studies have indicated that malnutrition, impaired cellular immunity, apparently abnormal microvascular circulation due to diabetes mellitus [3]and surgical treatment [4]may enhance the development of pleuritis in infections caused by MAC. Our patient showed no clinical features or laboratory test results indicative of a dysfunctional immune system.…”

Section: Discussionmentioning

confidence: 99%

<i>Mycobacterium avium</i> Complex Pleuritis

Yanagihara¹,

Tomono²,

Sawai³

et al. 2002

Respiration

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Non-tuberculous mycobacterium infection is rarely accompanied by pleural involvement. We report a very rare case of Mycobacterium avium-intracellurare complex (MAC) pleuritis with massive pleural effusion. The patient was a non-compromised 67-year-old female and had been treated for pulmonary non-tuberculous mycobacterium infection. She was admitted to hospital because of general malaise, low-grade fever and right pleural effusion. Cytological examination of the effusion did not show malignant cells. MAC was only identified by culture and PCR. No other bacteria were detected. Complete resolution of the pleural effusion occurred after administration of anti-tubercular agents (isoniazid, rifampin, ethambutol) and clarithromycin.

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Mycobacterium avium complex pleuritis accompanied by diabetes mellitus

Cited by 18 publications

References 15 publications

Susceptibility to nontuberculous mycobacterial lung disease

Susceptibility to nontuberculous mycobacterial lung disease

Acute Pneumonia and Empyema Caused by Mycobacterium Intracellulare

<i>Mycobacterium avium</i> Complex Pleuritis

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