Cases Of Pulmonary Mycobacterium Szulgai Infection Leading To Pneumothorax And Spontaneous Remission
Hamada, S., Hayashi, E., & Tsukino, M. (2017). Cases of pulmonary Mycobacterium szulgai Infection Leading to Pneumothorax and spontaneous Remission. Archivos de bronconeumologia, 53(8), 465–466. https://doi.org/10.1016/j.arbres.2017.01.010
View Original Source →Case Details
Disease Location
Lungs, bronchioles
Personal Characteristics
44-year-old man, a current-smoker,
Clinical Characteristics
Presented with an abnormal chest x-ray at a routine medical check-up. He had no history of pulmonary tuberculosis. Chest x-ray showed apical infiltration of the right lung with significant accumulation on subsequent 18f-fluorodeoxyglucose positron emission tomography/CT. Initial fiber-optic bronchoscopy did not detect any organisms, including bacteria and acid-fast bacilli, or malignant tumors second fibro bronchoscopy revealed the presence of m. Szulgai, which was identified using a dna–DNA hybridization method. 2 weeks later, chest CT revealed pulmonary infiltration with suspicious cavitation and bullae in the right upper lobe.
Remission Characteristics
The chest x-ray showed improvement in right lung abnormality 4 months after the second fiber-optic bronchoscopy without antimicrobial treatment
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
500 mg of amoxicillin and 125 mg of clavulanic acid 3 times daily for 2 weeks (no response)