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A Case of Non-Tuberculous Mycobacteriosis with Pleural Effusion and Thickening in a Patient with an Occupational History of Asbestos Exposure

Nakanishi, N.; Shiojiri, M.; Inoue, K.; Moritaka, T.

Kekkaku 90(5): 503-506

2015

ISSN/ISBN: 0022-9776
PMID: 26489154
Document Number: 682740
We report a case of a 75-year-old man with pleural effusion and an occupational history of asbestos exposure. Fluorodeoxyglucose positron emission tomography-computed tomography (FDG-PET/CT) examination revealed FDG up-takes along his pleura, leading to an initial suspicion of pleural mesothelioma. Pathological findings of a diagnostic video-associated pleural biopsy showed epithelioid cell granuloma. Repeated sputum cultures were positive for Mycobacterium intracellulare. The patient was diagnosed with pleuritis caused by non-tuberculous mycobacteria (NTM). NTM should be considered a potential cause of pleuritis.

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