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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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
John Wiley & Sons Ltd
2013
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| Subjects: | |
| Online Access: | http://eprints.um.edu.my/10615/1/Mycobacterium_abscessus.pdf http://eprints.um.edu.my/10615/ |
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| Institution: | Universiti Malaya |
| Language: | English |
| Summary: | 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. |
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