Identifying non-tuberculous mycobacterium lung diseases in acid-fast bacilli positive patients.
Southeast Asian J Trop Med Public Health
; 41(6): 1432-7, 2010 Nov.
Article
in En
| MEDLINE
| ID: mdl-21329320
ABSTRACT
We conducted a case-control study by comparing the clinical and radiographic features of acid-fast bacilli positive patients with pulmonary tuberculosis (PTB) to those with non-tuberculous mycobacterium (NTM) lung diseases diagnosed according to American Thoracic Society (ATS) criteria. The occurrence of NTM lung disease was associated with persistence in symptoms after the fifth month of treatment (p=0.018), middle lobe involvement (p<0.01), lower lobe involvement (p=0.004), multiple lobe involvement (p=0.001) and reticulo-nodular infiltration (p=0.041). On logistic regression analysis, persistence of symptoms after 5 months of treatment (p<0.001), middle lobe involvement (p<0.001) and lower lobe involvement (p<0.05) were significant predictors of NTM lung disease.These findings suggest physicians should consider NTM lung disease if there is involvement of the middle lobe or lower lobes on chest radiography or the persistence of symptoms at the fifth month of treatment.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Lung Diseases
/
Mycobacterium Infections, Nontuberculous
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Southeast Asian J Trop Med Public Health
Year:
2010
Document type:
Article
Affiliation country:
Thailand
Publication country:
TAILANDIA
/
TAILÂNDIA
/
TH
/
THAILAND