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KMID : 0882420130840020299
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Korean Journal of Medicine
2013 Volume.84 No. 2 p.299 ~ p.302
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A Case of Lung Disease and Vertebral Osteomyelitis Due to Nontuberculous Mycobacteria in a Kidney Transplant Recipient
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Shin Jun-Am
Kim Soo-Min
Kim Dae-Joong
Kim Yoon-Goo
Oh Ha-Young
Jeon Kyeong-Man
Huh Woo-Seong
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Abstract
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Nontuberculous mycobacteria (NTM) infections in kidney transplant recipients (KTR) are rare. We describe here a 52-year-old female with vertebral osteomyelitis caused by NTM, who received a kidney transplant 5 years earlier. She had been diagnosed with NTM lung disease 1 year prior. NTM therapy was delayed due to esophageal candidiasis. Mycobacterium intracellulare was isolated from sputum and bone tissue. The pattern of drug-susceptibility testing in both specimens was identical. NTM vertebral osteomyelitis due to direct inoculation is rare, and was in this case a disseminated NTM disease. The subjective symptoms resolved after 4 months of NTM treatment. This suggests that early NTM treatment is important for KTRs who have NTM disease during immunosuppressive therapy.
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KEYWORD
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Lung disease, Nontuberculous mycobacteria, Kidney transplantation, Osteomyelitis
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