[Disseminated Mycobacterium avium infection in an immunocompetent aged patient].
Nihon Kokyuki Gakkai Zasshi
; 44(6): 464-7, 2006 Jun.
Article
en Ja
| MEDLINE
| ID: mdl-16841719
ABSTRACT
We reported an immunocompetent elderly patient with disseminated Mycobacterium avium infection exhibiting bronchial, pulmonary, nodal, otitic and osteitic lesions. An 82-year-old man was initially hospitalized with cervical and mediastinal lymphadenopathy. M. avium was demonstrated in gastric juice and a lymph node. An endobronchial polypoid lesion was formed by perforation of mediastinal mycobacterial lymphadenitis into the right main bronchus. Combined treatment by CAM, RFP, EB, and SM caused the lesions to diminish and the treatment was continued for 18 months. One year after completion of treatment the patient was re-admitted with complaints of left ear pain, and a subcutaneous abscess on his back. M. avium was again demonstrated from external ear exudate and aspirated subcutaneous pus. Re-treatment with combined chemotherapy induced prompt resolution of the ear and bone lesions. It is unusual that immunocompetent patients suffer disseminated non-tuberculous mycobacterial infection, but chest physicians should pay attention to M. avium infection because of its worldwide dissemination.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Otitis Media
/
Bronquitis
/
Infección por Mycobacterium avium-intracellulare
/
Huésped Inmunocomprometido
/
Linfadenitis
Límite:
Aged80
/
Humans
/
Male
Idioma:
Ja
Revista:
Nihon Kokyuki Gakkai Zasshi
Año:
2006
Tipo del documento:
Article