Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature

Abstract Mycobacterium goodii, a rapidly growing non‐tuberculous mycobacterium, rarely causes pulmonary diseases. A patient was admitted to our hospital with a fever and cough. Chest radiography revealed consolidation in the right middle lung. As he had previously been treated for organizing pneumon...

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Main Authors: Yu Shionoya, Hajime Kasai, Reiya Kono, Ryutaro Hirama, Masayuki Ota, Akira Naito, Mitsuhiro Abe, Takeshi Kawasaki, Jun‐ichiro Ikeda, Takuji Suzuki
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.70095
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author Yu Shionoya
Hajime Kasai
Reiya Kono
Ryutaro Hirama
Masayuki Ota
Akira Naito
Mitsuhiro Abe
Takeshi Kawasaki
Jun‐ichiro Ikeda
Takuji Suzuki
author_facet Yu Shionoya
Hajime Kasai
Reiya Kono
Ryutaro Hirama
Masayuki Ota
Akira Naito
Mitsuhiro Abe
Takeshi Kawasaki
Jun‐ichiro Ikeda
Takuji Suzuki
author_sort Yu Shionoya
collection DOAJ
description Abstract Mycobacterium goodii, a rapidly growing non‐tuberculous mycobacterium, rarely causes pulmonary diseases. A patient was admitted to our hospital with a fever and cough. Chest radiography revealed consolidation in the right middle lung. As he had previously been treated for organizing pneumonia (OP), he was diagnosed with OP recurrence and administered systemic corticosteroids. Although initial improvement was observed, the pulmonary consolidations worsened. Transbronchial lung cryobiopsy revealed an OP pattern. M. goodii was identified in sputum acid‐fast bacilli cultures. The patient was diagnosed with M. goodii pulmonary disease and secondary OP. Although intravenous imipenem‐cilastatin, amikacin, and ciprofloxacin led to initial improvement in pulmonary consolidations, the consolidations re‐worsened. Systemic corticosteroids were initiated, resulting in improvement in the consolidations. The dose of systemic corticosteroids was tapered; oral antimycobacterial therapy was continued. M. goodii can cause pulmonary disease and induce OP; antimycobacterial therapy and systemic corticosteroids can be effective.
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institution Kabale University
issn 2051-3380
language English
publishDate 2025-01-01
publisher Wiley
record_format Article
series Respirology Case Reports
spelling doaj-art-34691a100d2242ea868509f4c98359992025-01-27T09:16:54ZengWileyRespirology Case Reports2051-33802025-01-01131n/an/a10.1002/rcr2.70095Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literatureYu Shionoya0Hajime Kasai1Reiya Kono2Ryutaro Hirama3Masayuki Ota4Akira Naito5Mitsuhiro Abe6Takeshi Kawasaki7Jun‐ichiro Ikeda8Takuji Suzuki9Department of Respirology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Medical Education, Graduate School of Medicine Chiba University Chiba JapanDepartment of Respirology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Respirology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Diagnostic Pathology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Respirology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Respirology Japanese Red Cross Narita Hospital Chiba JapanDepartment of Respirology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Diagnostic Pathology, Graduate School of Medicine Chiba University Chiba JapanDepartment of Respirology, Graduate School of Medicine Chiba University Chiba JapanAbstract Mycobacterium goodii, a rapidly growing non‐tuberculous mycobacterium, rarely causes pulmonary diseases. A patient was admitted to our hospital with a fever and cough. Chest radiography revealed consolidation in the right middle lung. As he had previously been treated for organizing pneumonia (OP), he was diagnosed with OP recurrence and administered systemic corticosteroids. Although initial improvement was observed, the pulmonary consolidations worsened. Transbronchial lung cryobiopsy revealed an OP pattern. M. goodii was identified in sputum acid‐fast bacilli cultures. The patient was diagnosed with M. goodii pulmonary disease and secondary OP. Although intravenous imipenem‐cilastatin, amikacin, and ciprofloxacin led to initial improvement in pulmonary consolidations, the consolidations re‐worsened. Systemic corticosteroids were initiated, resulting in improvement in the consolidations. The dose of systemic corticosteroids was tapered; oral antimycobacterial therapy was continued. M. goodii can cause pulmonary disease and induce OP; antimycobacterial therapy and systemic corticosteroids can be effective.https://doi.org/10.1002/rcr2.70095antimycobacterial therapyMycobacterium goodiinon‐tuberculous mycobacteriumorganizing pneumoniasystemic corticosteroids
spellingShingle Yu Shionoya
Hajime Kasai
Reiya Kono
Ryutaro Hirama
Masayuki Ota
Akira Naito
Mitsuhiro Abe
Takeshi Kawasaki
Jun‐ichiro Ikeda
Takuji Suzuki
Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
Respirology Case Reports
antimycobacterial therapy
Mycobacterium goodii
non‐tuberculous mycobacterium
organizing pneumonia
systemic corticosteroids
title Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
title_full Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
title_fullStr Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
title_full_unstemmed Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
title_short Mycobacterium goodii pulmonary disease with organizing pneumonia: A case report and review of literature
title_sort mycobacterium goodii pulmonary disease with organizing pneumonia a case report and review of literature
topic antimycobacterial therapy
Mycobacterium goodii
non‐tuberculous mycobacterium
organizing pneumonia
systemic corticosteroids
url https://doi.org/10.1002/rcr2.70095
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