A CASE OF PULMONARY INFECTION WITH MYCOBACTERIUM CHELONAE IN HEALTHY BREAST-FEEDING WOMAN

  • SUZUKI Katsunori
    Medicine First Department of Medicine, University of Occupational and Environmental Health, Japan
  • MATSUKI Akihiro
    Respiratory Medicine, Health Insurance Nogata Chuou Hospital Respiratory Medicine, National Hospital Organization Fukuoka-Higashi Medical Center
  • SAITO Kazuyoshi
    First Department of Medicine, University of Occupational and Environmental Health, Japan
  • TANAKA Yoshiya
    First Department of Medicine, University of Occupational and Environmental Health, Japan

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  • 健常授乳婦に生じた肺Mycobacterium chelonae感染症の1例
  • ケンジョウ ジュニュウフ ニ ショウジタ ハイ Mycobacterium chelonae カンセンショウ ノ 1レイ

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Abstract

We report a case of pulmonary infection caused by Mycobacterium chelonae. The patient was a healthy breastfeeding 29 year-old female. An abnormal shadow had been pointed out by the chest X-ray in the regular checkup of the office workers. The chest X-ray film showed consolidation at right lower lung field, which initially suggested pulmonary tuberculosis. The chest CT scan showed scattered consolidation. Smears and cultures of the sputum were repeatedly positive for mycobacteria, which was identified as M. chelonae. By chemotherapy with isoniazid, rifampicin, a nd clarithromycin on the basis of susceptibility test, sputum converted to negative within 2 months, abnormal shadows on the roentgenogram and laboratory data showed improvement. There are no signs of recurrence after completion of the treatment for 12 months.

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