Pneumatosis Cystoides Intestinalis Secondary to Antibiotic Therapy for Pulmonary Mycobacterium avium Complex Infection: A Case Report and Review of the Literature

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Authors: Koki Nakashima, Hiroki Matsukawa, Toshiko Kakiuchi, Koji Yamaoka, Yasushi Hosokawa, Yuko Waseda
Cited by: 1
References: 8

Abstract

Pneumatosis cystoides intestinalis (PCI) is characterized by the presence of gas in the gastrointestinal wall. It is rarely observed in patients with pulmonary Mycobacterium avium complex (MAC) infection, although the exact mechanisms are unclear. We, herein, present a case of PCI potentially associated with long-term antibiotic therapy for pulmonary MAC infection. An 83-year-old woman developed PCI after 3 years of antibiotic therapy for a pulmonary MAC infection, with subsequent improvement following the discontinuation of antibiotics. Based on the clinical course, we suggest that clinicians consider the development of PCI, especially in patients receiving long-term antibiotic therapy for pulmonary MAC infection.

Fields of Study & Subjects

Abdominal vascular conditions and treatments Diagnosis and treatment of tuberculosis Infectious Disease Case Reports and Treatments

Publication details

Journal / source
Internal Medicine
Publisher
Japanese Society of Internal Medicine
Volume
65
Issue
17
Pages
2323–2326
Publication date
14 January 2026
Language
EN