Pleural effusion is a rare complication in non-tuberculous mycobacterial infection. We report a case of Mycobacterium intracellulare pleuritis with idiopathic pulmonary fibrosis in a 69-year-old man presenting with dyspnea. Pleural effusion revealed lymphocyte dominant exudate. M. intracellulare was identified using a polymerase chain reaction-restriction fragment length polymorphism method and liquid cultures of pleural effusion and pleural biopsy. After combination therapy for M. intracellulare pulmonary disease, the patient was clinically well at a 1-month follow-up.
Murray MP, Laurenson IF, Hill AT. Outcomes of a standardized triple-drug regimen for the treatment of nontuberculous mycobacterial pulmonary infection. Clin Infect Dis 2008;47:222-4.
Sexton P, Harrison AC. Susceptibility to nontuberculous mycobacterial lung disease. Eur Respir J 2008; 31:1322-33.
Glassroth J. Pulmonary disease due to nontuberculous mycobacteria. Chest 2008;133:243-51.
Martinez S, McAdams HP, Batchu CS. The many faces of pulmonary nontuberculous mycobacterial infection. AJR Am J Roentgenol 2007;189:177-86.
Fowler SJ, French J, Screaton NJ, Foweraker J, Condliffe A, Haworth CS, et al. Nontuberculous mycobacteria in bronchiectasis: prevalence and patient characteristics. Eur Respir J 2006;28:1204-10.
Field SK, Cowie RL. Lung disease due to the more common nontuberculous mycobacteria. Chest 2006; 129:1653-72.
Koh WJ, Kwon OJ, Jeon K, Kim TS, Lee KS, Park YK, et al. Clinical significance of nontuberculous mycobacteria isolated from respiratory specimens in Korea. Chest 2006;129:341-8.
Chung MJ, Lee KS, Koh WJ, Lee JH, Kim TS, Kwon OJ, et al. Thin-section CT findings of nontuberculous mycobacterial pulmonary diseases: comparison between Mycobacterium avium-intracellulare complex and Mycobacterium abscessus infection. J Korean Med Sci 2005;20:777-83.
Kwak SY, Bae SY, Yun WK, Kim MY, Kim YJ, Choi MK, et al. Mycobacterium intracellulare pulmonary infection accompanied with pleural effusion. Korean J Med 2008;75:475-8.
Kakugawa T, Mukae H, Kajiki S, Tanaka A, Yamayoshi T, Inoue M, et al. Mycobacterium avium pleuritis in a non-immunocompromised patient. Intern Med 2008;47:1727-31.
Devallois A, Goh KS, Rastogi N. Rapid identification of mycobacteria to species level by PCR-restriction fragment length polymorphism analysis of the hsp65 gene and proposition of an algorithm to differentiate 34 mycobacterial species. J Clin Microbiol 1997;35:2969-73.
Christensen EE, Dietz GW, Ahn CH, Chapman JS, Murry RC, Anderson J, et al. Initial roentgenographic manifestations of pulmonary Mycobacterium tuberculosis, M kansasii, and M intracellularis infections. Chest 1981;80:132-6.
Shu CC, Lee LN, Wang JT, Chien YJ, Wang JY, Yu CJ, et al. Non-tuberculous mycobacterial pleurisy: an 8- year single-centre experience in Taiwan. Int J Tuberc Lung Dis 2010;14:635-41.
Gribetz AR, Damsker B, Marchevsky A, Bottone EJ. Nontuberculous mycobacteria in pleural fluid: assessment of clinical significance. Chest 1985;87:495-8.