Mycobacterium Avium Complex Presenting as a Lung Mass, Broncho-pleural Fistula and Empyema in an Immunocompetent Patient-A Case Report and Review of Literature

International Journal of Medical and Pharmaceutical Case Reports

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Title Mycobacterium Avium Complex Presenting as a Lung Mass, Broncho-pleural Fistula and Empyema in an Immunocompetent Patient-A Case Report and Review of Literature
 
Creator Chandramohan, Suganya
Pasula, Shirisha
Natesan, Suganthini Krishnan
 
Description Mycobacterium avium complex (MAC) is a non-tuberculous mycobacteria (NTM) that causes subacute or chronic nodular bronchiectasis, cavitary or fibro-cavitary pneumonia in patients with chronic structural lung pathology including emphysema, chronic bronchitis, and bronchiectasis. It is also known to cause pulmonary and extrapulmonary infections in patients with impaired cell mediated immunity such as transplant recipients, (Acquired Immune Deficiency Syndrome) AIDS where it can cause disseminated infections. Empyema from MAC has been reported in immunocompromised patients and is a rare phenomenon. Here we report a patient who presented with chronic left pleural effusion and a left lower lobe lung mass that went undiagnosed for 2 years, despite extensive work-up. Later in his course, he presented with a large effusion complicated by a bronchopleural fistula and was diagnosed as MAC empyema. To our knowledge, this is the first case of MAC empyema, that presented as a chronic lung mass, complicated by a bronchopleural fistula. In this article, we present the clinical, laboratory, and radiological features, with emphasis on a combined medical and surgical approach in the management of MAC empyema. We also provide a brief overview of cases of MAC associated pleurisy and empyema that have been reported in literature.
 
Publisher SCIENCEDOMAIN international
 
Date 2020-11-11
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier http://journalijmpcr.com/index.php/IJMPCR/article/view/30118
10.9734/ijmpcr/2020/v13i230118
 
Source International Journal of Medical and Pharmaceutical Case Reports; 2020 - Volume 13 [Issue 2]; 18-25
2394-109X
 
Language eng
 
Relation http://journalijmpcr.com/index.php/IJMPCR/article/view/30118/56510
http://journalijmpcr.com/index.php/IJMPCR/article/view/30118/56511
 
Rights Copyright (c) 2020 © 2020 Chandramohan et al.; This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
 

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