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KMID : 1144320130450010099
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감염과 화학요법
2013 Volume.45 No. 1 p.99 ~ p.104
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Endobronchial Mycobacterium avium Infection in an Immunocompetent Patient
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Kang Seung-Hwa
Mun Se-Kwon
Lee Min-Jae
Kim So-Yeon
Choi Hyung-Gyu
Byun Jun-Su
Kim Cheol-Hyeon
Kim Hye-Ryoun
Cho Soo-Yeon
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Abstract
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Although Mycobacterium avium complex (MAC) is the most common pathogen in nontuberculous mycobacterial (NTM) pulmonary diseases, endobronchial lesions caused by MAC infections are very rare even in an immunocompromised host. Herein, we describe the case of a 59-year-old, HIV-negative and non-immunocompromised woman who developed multifocal pulmonary infiltrations with endobronchial lesion caused by M. avium. Bronchoscopic examination revealed white- and yellow-colored irregular mucosal lesions in the bronchus of the left lingular division. M. avium was identified using sputum culture and bronchial washing fluid culture. Following the recommendations of the American Thoracic Society and Infectious Diseases Society of America (ATS/IDSA), the patient was begun on treatment with antimycobacterial drugs. After treatment, pneumonic infiltration decreased.
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KEYWORD
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Mycobacterium avium, Immunocompetent host, Nontuberculosis mycobacteria
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