Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Disseminated Mycobacterium intracellulare Infection in an Immunocompromised Host

면역 저하 환자에서 발생한 파종성 Mycobacterium intracellulare 감염 1예

  • Kim, Sun Young (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Oh, Dong Wook (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yu, Ji Hee (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Donghoi (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Noh, Sehui (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Roh, JaeHyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jung, Sang-Su (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoo, Dong-Jun (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shim, Tae Sun (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 김선영 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 오동욱 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 유지희 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 김동회 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 노세희 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 노재형 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 정상수 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 유동준 (울산대학교 의과대학 서울아산병원 호흡기내과학교실) ;
  • 심태선 (울산대학교 의과대학 서울아산병원 호흡기내과학교실)
  • Received : 2009.05.28
  • Accepted : 2009.06.22
  • Published : 2009.07.30
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Abstract

We report a case of disseminated Mycobacterium intracellulare infection in a 31-year-old man who had been diagnosed as having dermatomyositis and systemic lupus erythematosus 3-years prior. The patient developed a left pleural effusion M. intracellulare was repeatedly isolated from the pleural fluid. After antimycobacterial treatment, the patient's pleural effusion resolved, but a left knee joint effusion developed newly and M. intracellulare was cultured from the joint fluid. At present, the patient has been taking antimycobacterial medication for 15 months but his left knee joint fluid remains positive for M. intracellulare. To our knowledge, this is the second reported case of disseminated NTM infection in a non-HIV infected patient in Korea.

본 증례는 AIDS가 아닌 면역저하 환자에서 M. intracellulare에 의하여 관절염 및 흉수가 발생한 파종성 질환의 예로 국내에서 두 번째로 보고되는 바이다.

Keywords

References

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