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KMID : 0383820130740040191
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Tuberculosis and Respiratory Diseases
2013 Volume.74 No. 4 p.191 ~ p.194
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Nontuberculous Mycobacterial Lung Disease Caused by Mycobacterium chelonae: A Case Report
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Ko You-Sang
Kim Woo-Youl
Shin Beom-Su
Yoo Hong-Seok
Eom Jung-Seop
Lee Ji-Hyun
Jhun Byung-Woo
Kim Su-Young
Choi Go-Eun
Shin Sung-Jae
Koh Won-Jung
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Abstract
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Mycobacterium chelonae lung disease is very rare. We report a case of lung disease caused by M. chelonae in a previously healthy woman. A 69-year-old woman was referred to our hospital because of hemoptysis. A computed tomography (CT) scan of the chest revealed bronchiolitis associated with bronchiectasis in the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated three times from sputum specimens. All isolates were identified as M. chelonae by various molecular methods that characterized rpoB and hsp65 gene sequences. Although some new lesions including bronchiolitis in the superior segment of the left lower lobe developed on the chest CT scan 35 months after diagnosis, she has been followed up without antibiotic therapy because of her mild symptoms. To the best of our knowledge, this is the first case of M. chelonae lung disease in Korea in which the etiologic organisms were confirmed using molecular techniques.
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KEYWORD
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Nontuberculous Mycobacteria, Bronchiectasis, Mycobacterium chelonae
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