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A Refractory, Infected Lung Bulla and an Abscess Treated Using Percutaneous Drainage in a Patient With Human

Kaho Sugahara1, Toyoshi Yanagihara1, Yuri Nakamura2

  • 1Respiratory Medicine, Hamanomachi Hospital, Fukuoka, JPN.

Cureus
|December 22, 2021
PubMed

We present a case of a 54-year-old Japanese woman with established human T-lymphotropic virus type 1 (HTLV-1)-associated myelopathy who developed a refractory infected lung bulla and lung abscess caused by Pseudomonas aeruginosa, Methicillin-resistant Staphylococcus aureus, and Aspergillusspecies. Since antibiotic treatment alone failed to resolve the infection, percutaneous drainage of the infected bulla was performed. Although a prolonged treatment period was necessary, the infected lung bulla and the lung abscess were eventually resolved. During her illness, the patient also developed arthritis, possibly related to the HTLV-1 infection. Thus, persons infected with HTLV-1 can develop refractory infections, myelopathy, and arthritis. Percutaneous drainage is an option to treat refractory infected lung bullae.

Keywords:
aspergillushtlv-1-associated arthritishtlv-1-associated myelopathyinfected lung bullamrsapercutaneous drainagepseudomonas aeruginosa

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