Abstract
Pleural involvement in nontuberculous mycobacterium infection has rarely been reported. We present a case of a patient with advanced AIDS, not on antiretroviral therapy, who presented with massive pleural empyema and splenic and liver abscess secondary to Mycobacterium avium-intracellulare complex. She was a 42-year-old female who was admitted with fever, chills, weight loss, and productive cough of 3 weeks duration. Her pleural fluid cultures were positive for Mycobacterium avium-intracellulare complex, and no other organism was identified. Our patient had good outcome after treatment with antitubercular agents (isoniazid, rifabutin, and clarithromycin).
MeSH terms
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AIDS-Related Opportunistic Infections / diagnosis*
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AIDS-Related Opportunistic Infections / diagnostic imaging
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AIDS-Related Opportunistic Infections / drug therapy
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AIDS-Related Opportunistic Infections / microbiology
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Adult
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Antitubercular Agents / administration & dosage
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Antitubercular Agents / therapeutic use
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Drug Therapy, Combination
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Female
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Humans
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Mycobacterium avium Complex / isolation & purification
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Mycobacterium avium-intracellulare Infection / diagnosis*
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Mycobacterium avium-intracellulare Infection / diagnostic imaging
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Mycobacterium avium-intracellulare Infection / drug therapy
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Mycobacterium avium-intracellulare Infection / microbiology
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Radiography
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Treatment Outcome