Mycobacterium abscessus – to treat or not to treat?

A patient with Mycobacterium abscessus lung disease was mistaken to have pulmonary tuberculosis with airway colonization by the non-tuberculous mycobacterium. Appropriate antibiotics were only given when the patient’s signs and symptoms worsened while on anti-tuberculosis therapy. Despite treatment...

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Chi tiết về thư mục
Những tác giả chính: Liam, C.K., Pang, Y.K., Ngeow, Y.F., Wong, Y.L.
Định dạng: Bài viết
Ngôn ngữ:English
Được phát hành: John Wiley & Sons Ltd 2013
Những chủ đề:
Truy cập trực tuyến:http://eprints.um.edu.my/10615/1/Mycobacterium_abscessus.pdf
Miêu tả
Tóm tắt:A patient with Mycobacterium abscessus lung disease was mistaken to have pulmonary tuberculosis with airway colonization by the non-tuberculous mycobacterium. Appropriate antibiotics were only given when the patient’s signs and symptoms worsened while on anti-tuberculosis therapy. Despite treatment with a combination of antibiotics showing in vitro susceptibility, the pathogen persisted in the respiratory secretions for longer than 6 months and the patient suffered a spontaneous pneumothorax 14 months into treatment. This case illustrates the chronic course of M. abscessus lung infection, the tendency for flare-ups, the inadequacy of current treatment regimens, and the necessity for prolonged patient follow-up.