Guardado en:
0121-5426
2538-9513
35
2023-12-05
35
39
Revista Colombiana de Neumología - 2023
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
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Publication info:eu-repo/semantics/article Revista Colombiana de Neumología https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/668 Español https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. http://purl.org/coar/resource_type/c_6501 application/pdf http://purl.org/redcol/resource_type/ARTREF info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Zamora Becerra, Leidy Vanesa Asociación Colombiana de Neumología y Cirugía de Tórax Bronquiectasia Mycobacterium intracellulare Moreno Carrillo, María Angélica Ramírez, Luis Eduardo Artículo de revista 2 35 Diagnóstico Infección pulmonar Micobacterias no tuberculosas Intracellular mycobacterium non-tuberculous mycobacteria Bronchiectasis Lung infection Diagnosis The incidence of non-tuberculous mycobacterial (NTM) infection and the number of cases have been increasing, especially in women and the elderly, having EE. Between 2008 and 2015 an incidence of 4.16 to 6.69 per 100,000 among women and from 12.70 to 18.37 per 100,000 among those over 65 (1). “Patients with structural involvement of the pulmonary parenchyma, history of immunosuppression or immunodeficiency have a higher risk of developing NTM infection”. However, immunocompetent patients have been reported in association with nodular opacities and bronchiectasis. (2) This is a 79-year-old woman with a history of pulmonary tuberculosis documented on 2 occasions: the last infectious process in 2021. It received management for 6 months of the current tetraconjugate schema. He is currently in consultation with a clinical picture of more than 6 months of evolution given by weight loss of more than 10% in a year, dyspnea to moderate efforts and cough with purulent expectoration. Physical examination revealed low body mass index (BMI) and, a hypoexpandable thorax with a crescent-like sternum in both hemithorax. Chest tomography revealed widespread bronchiectasis, some groaning tree areas and cavitated lesions. Bronchoscopy fibro bronchoscopy with bronchoalveolar lavage has been reported negative bacilloscopies, positive culture for non-tuberculosis mycobacteria. Mycobacteria typing, Kinyoun coloration, and biochemical tests were requested from bronchoalveolar lavage culture strains with positive reports for Mycobacterium intracellulare. Management was therefore initiated with azithromycin 500 mg, rifampin 600 mg and ethambutol 975mg daily. Healthcare professionals should be aware of possible NTM infection especially existing prior lung structural involvement based on clinical suspicion and/or epidemiological circumstances. Journal article 39 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/668/775 35 2023-12-05T10:17:13Z https://doi.org/10.30789/rcneumologia.v35.n2.2023.668 10.30789/rcneumologia.v35.n2.2023.668 2538-9513 0121-5426 2023-12-05 2023-12-05T10:17:13Z |
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ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX |
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https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png |
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Colombia |
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Revista Colombiana de Neumología |
| description_eng |
The incidence of non-tuberculous mycobacterial (NTM) infection and the number of cases have been increasing, especially in women and the elderly, having EE. Between 2008 and 2015 an incidence of 4.16 to 6.69 per 100,000 among women and from 12.70 to 18.37 per 100,000 among those over 65 (1). “Patients with structural involvement of the pulmonary parenchyma, history of immunosuppression or immunodeficiency have a higher risk of developing NTM infection”. However, immunocompetent patients have been reported in association with nodular opacities and bronchiectasis. (2)
This is a 79-year-old woman with a history of pulmonary tuberculosis documented on 2 occasions: the last infectious process in 2021. It received management for 6 months of the current tetraconjugate schema. He is currently in consultation with a clinical picture of more than 6 months of evolution given by weight loss of more than 10% in a year, dyspnea to moderate efforts and cough with purulent expectoration. Physical examination revealed low body mass index (BMI) and, a hypoexpandable thorax with a crescent-like sternum in both hemithorax. Chest tomography revealed widespread bronchiectasis, some groaning tree areas and cavitated lesions. Bronchoscopy fibro bronchoscopy with bronchoalveolar lavage has been reported negative bacilloscopies, positive culture for non-tuberculosis mycobacteria. Mycobacteria typing, Kinyoun coloration, and biochemical tests were requested from bronchoalveolar lavage culture strains with positive reports for Mycobacterium intracellulare. Management was therefore initiated with azithromycin 500 mg, rifampin 600 mg and ethambutol 975mg daily. Healthcare professionals should be aware of possible NTM infection especially existing prior lung structural involvement based on clinical suspicion and/or epidemiological circumstances.
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| author |
Zamora Becerra, Leidy Vanesa Moreno Carrillo, María Angélica Ramírez, Luis Eduardo |
| spellingShingle |
Zamora Becerra, Leidy Vanesa Moreno Carrillo, María Angélica Ramírez, Luis Eduardo Bronquiectasia Mycobacterium intracellulare Diagnóstico Infección pulmonar Micobacterias no tuberculosas Intracellular mycobacterium non-tuberculous mycobacteria Bronchiectasis Lung infection Diagnosis |
| author_facet |
Zamora Becerra, Leidy Vanesa Moreno Carrillo, María Angélica Ramírez, Luis Eduardo |
| topicspa_str_mv |
Bronquiectasia Mycobacterium intracellulare Diagnóstico Infección pulmonar Micobacterias no tuberculosas |
| topic |
Bronquiectasia Mycobacterium intracellulare Diagnóstico Infección pulmonar Micobacterias no tuberculosas Intracellular mycobacterium non-tuberculous mycobacteria Bronchiectasis Lung infection Diagnosis |
| topic_facet |
Bronquiectasia Mycobacterium intracellulare Diagnóstico Infección pulmonar Micobacterias no tuberculosas Intracellular mycobacterium non-tuberculous mycobacteria Bronchiectasis Lung infection Diagnosis |
| citationvolume |
35 |
| citationissue |
2 |
| publisher |
Asociación Colombiana de Neumología y Cirugía de Tórax |
| ispartofjournal |
Revista Colombiana de Neumología |
| source |
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/668 |
| language |
Español |
| format |
Article |
| rights |
https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/article |
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http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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Text |
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2023-12-05 |
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2023-12-05T10:17:13Z |
| date_available |
2023-12-05T10:17:13Z |
| url |
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/668 |
| url_doi |
https://doi.org/10.30789/rcneumologia.v35.n2.2023.668 |
| issn |
0121-5426 |
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2538-9513 |
| doi |
10.30789/rcneumologia.v35.n2.2023.668 |
| citationstartpage |
35 |
| citationendpage |
39 |
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https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/668/775 |
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