Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report

Mycolicibacterium mageritense (M. mageritense) is a rare species among rapidly growing mycobacteria, and M. mageritense pleurisy is very rare. Here, we report for the first time, an immunocompetent patient with pleurisy caused by M. mageritense. The patient had no history of immunodeficiency and no...

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Autores principales:	Takayuki Niitsu, Tomoki Kuge, Kiyoharu Fukushima, Yuki Matsumoto, Yuko Abe, Masashi Okamoto, Kako Haduki, Haruko Saito, Tadayoshi Nitta, Akira Kawano, Takanori Matsuki, Daisuke Motooka, Kazuyuki Tsujino, Keisuke Miki, Shota Nakamura, Hiroshi Kida, Atsushi Kumanogoh
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	pleural effusion rapidly growing mycobacteria nontuberculous mycobacteria Mycolicibacterium mageritense immunocompetent Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6d1fa318274340d8b84b1c9e035b0dc7
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spelling	oai:doaj.org-article:6d1fa318274340d8b84b1c9e035b0dc72021-11-30T17:07:00ZPleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report2296-858X10.3389/fmed.2021.797171https://doaj.org/article/6d1fa318274340d8b84b1c9e035b0dc72021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.797171/fullhttps://doaj.org/toc/2296-858XMycolicibacterium mageritense (M. mageritense) is a rare species among rapidly growing mycobacteria, and M. mageritense pleurisy is very rare. Here, we report for the first time, an immunocompetent patient with pleurisy caused by M. mageritense. The patient had no history of immunodeficiency and no recurrence of lung cancer after surgery. However, 8 months after surgery, he developed a new lung shadow and pleurisy. Although whole-genome analysis of the colony cultured from the patient's pleural fluid revealed M. mageritense, we could not identify it in time, resulting in a poor outcome. M. mageritense pleurisy in this case might have occurred via a bulla rupture of the lung lesion because computed tomography of the patient's chest showed pneumothorax and a lung lesion in contact with thoracic cavity. This case emphasized that nontuberculous mycobacterial pleurisy should be considered in the differential diagnoses of pleural effusion even in immunocompetent patients. Advancement of comprehensive and rapid analyses of genomic data from clinical specimens will lead to better treatment strategies.Takayuki NiitsuTomoki KugeKiyoharu FukushimaKiyoharu FukushimaKiyoharu FukushimaYuki MatsumotoYuko AbeMasashi OkamotoKako HadukiHaruko SaitoTadayoshi NittaAkira KawanoTakanori MatsukiDaisuke MotookaKazuyuki TsujinoKeisuke MikiShota NakamuraHiroshi KidaAtsushi KumanogohFrontiers Media S.A.articlepleural effusionrapidly growing mycobacterianontuberculous mycobacteriaMycolicibacterium mageritenseimmunocompetentMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pleural effusion rapidly growing mycobacteria nontuberculous mycobacteria Mycolicibacterium mageritense immunocompetent Medicine (General) R5-920
spellingShingle	pleural effusion rapidly growing mycobacteria nontuberculous mycobacteria Mycolicibacterium mageritense immunocompetent Medicine (General) R5-920 Takayuki Niitsu Tomoki Kuge Kiyoharu Fukushima Kiyoharu Fukushima Kiyoharu Fukushima Yuki Matsumoto Yuko Abe Masashi Okamoto Kako Haduki Haruko Saito Tadayoshi Nitta Akira Kawano Takanori Matsuki Daisuke Motooka Kazuyuki Tsujino Keisuke Miki Shota Nakamura Hiroshi Kida Atsushi Kumanogoh Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
description	Mycolicibacterium mageritense (M. mageritense) is a rare species among rapidly growing mycobacteria, and M. mageritense pleurisy is very rare. Here, we report for the first time, an immunocompetent patient with pleurisy caused by M. mageritense. The patient had no history of immunodeficiency and no recurrence of lung cancer after surgery. However, 8 months after surgery, he developed a new lung shadow and pleurisy. Although whole-genome analysis of the colony cultured from the patient's pleural fluid revealed M. mageritense, we could not identify it in time, resulting in a poor outcome. M. mageritense pleurisy in this case might have occurred via a bulla rupture of the lung lesion because computed tomography of the patient's chest showed pneumothorax and a lung lesion in contact with thoracic cavity. This case emphasized that nontuberculous mycobacterial pleurisy should be considered in the differential diagnoses of pleural effusion even in immunocompetent patients. Advancement of comprehensive and rapid analyses of genomic data from clinical specimens will lead to better treatment strategies.
format	article
author	Takayuki Niitsu Tomoki Kuge Kiyoharu Fukushima Kiyoharu Fukushima Kiyoharu Fukushima Yuki Matsumoto Yuko Abe Masashi Okamoto Kako Haduki Haruko Saito Tadayoshi Nitta Akira Kawano Takanori Matsuki Daisuke Motooka Kazuyuki Tsujino Keisuke Miki Shota Nakamura Hiroshi Kida Atsushi Kumanogoh
author_facet	Takayuki Niitsu Tomoki Kuge Kiyoharu Fukushima Kiyoharu Fukushima Kiyoharu Fukushima Yuki Matsumoto Yuko Abe Masashi Okamoto Kako Haduki Haruko Saito Tadayoshi Nitta Akira Kawano Takanori Matsuki Daisuke Motooka Kazuyuki Tsujino Keisuke Miki Shota Nakamura Hiroshi Kida Atsushi Kumanogoh
author_sort	Takayuki Niitsu
title	Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
title_short	Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
title_full	Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
title_fullStr	Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
title_full_unstemmed	Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report
title_sort	pleural effusion caused by mycolicibacterium mageritense in an immunocompetent host: a case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/6d1fa318274340d8b84b1c9e035b0dc7
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Pleural Effusion Caused by Mycolicibacterium mageritense in an Immunocompetent Host: A Case Report

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