Long-Term Follow-Up of Pulmonary Disease Caused by Mycobacterium Avium in a Previously Healthy Patient
作者:
StappaertsI.,
PortaelsF.,
SchilL.Van,
期刊:
Acta Clinica Belgica
(Taylor Available online 1993)
卷期:
Volume 48,
issue 3
页码: 202-208
ISSN:1784-3286
年代: 1993
DOI:10.1080/17843286.1993.11718308
出版商: Taylor&Francis
数据来源: Taylor
摘要:
SummaryA 64-year-old white male with cavitary lung disease is presented.Mycobacterium aviumwas isolated from sputa and gastric lavage and the American Thoracic Society criteria for nontuberculous mycobacterial disease were met. Seven years follow-up and treatment regimens are discussed.This case illustrates that medical treatment of M.aviumpulmonary disease can be disappointing and requires regularclinical, radiological, microbiological and haematological reassessment to evaluate efficacy and toxicity of therapy.Despite in vitro resistance to the standard antimycobacterial agents, prolonged treatment regimens can be successful and are the therapy of choice. Another drug combination, based on in vitro susceptibility patterns, has to be started for patients who fail to respond or who relapse. Lifelong treatment may be necessary to keep the patient stable and to prevent further destruction of lung parenchyma.
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