Isolation of Mycobacterium kyorinense in a Patient With Respiratory Failure

  1. Hiroo Wada, MD, PhD;
  2. Masayuki Yamamoto, MD;
  3. Mitsuhiro Okazaki, PhD;
  4. Takashi Watanabe, MD, PhD; and
  5. Hajime Goto, MD, PhD
  1. From Kyorin University, Mitaka, Tokyo 181-8611, Japan.

    Background: Isolation of nontuberculous mycobacterial species from clinical specimens is becoming more common.

    Objective: To report the isolation of Mycobacterium kyorinense, a recently isolated novel mycobacterium (1), from a patient with impending respiratory failure.

    Case Report: An 89-year-old man was admitted to our department for worsening dyspnea. He required long-term oxygen therapy for chronic obstructive pulmonary disease induced by tobacco smoking and had a history of pulmonary tuberculosis. He also had a history of bladder carcinoma, treated with cisplatin and radiation, and prostate carcinoma, treated with leuprorelin and bicalutamide. Vital signs on admission included a temperature of 36.9 °C, respiratory rate of 18 breaths/min, and blood pressure of 100/60 mm Hg. According to the laboratory examination on admission, pH was 7.489, Paco2 was 34.7 mm Hg, Pao2 was 44.0 mm …

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