Journal
INTERNAL MEDICINE
Volume 50, Issue 9, Pages 1069-1073Publisher
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.50.4733
Keywords
Mycobacterium massiliense; immunosupressive treatment; septicemia
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A 75-year-old man with interstitial pneumonia due to ANCA-related vasculitis requiring immunosuppressive treatment was admitted to our hospital because of fever and rapidly progressive dyspnea. Chest CT showed diffuse ground-glass opacity with infiltration shadow in the bilateral lungs. We established a definitive diagnosis by isolating Mycobacterium massiliense on culture examination of acid-fast bacilli from peripheral blood and sputum. We began to administer CAM, LVFX, AMK, IPM/CS to this patient two weeks after admission. However, he died of respiratory failure and septic shock. There are few case reports of pulmonary lesion with septicemia due to Mycobacterium massiliense.
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