Dórame-Castillo R, Cano-Rangel MA, Durazo-Arvizu MA, Contreras-Soto J

Language: Spanish
References: 18
Page: 74-79
PDF size: 99.26 Kb.

ABSTRACT

Introduction: The presentation of pulmonary Mycobacterium avium infection in children is a rare event but it is a frequent association in adult patients with immunodeficiency on HIV/AIDS. The expression in pediatric patients is frequently manifested by lymphadenopathy, this infection has increased with the increase in the pediatric population carry the HIV virus. But in this case our patient was diagnosed as a case of pulmonary Mycobacterium Avium infection refractory to treatment in association with Pulmonary Hemosiderosis.
Presentation of Case Report: male, 6 years old, who was admitted with a diagnosis of anemia and chronic pneumopathy in study. Begins his study how a case of long evolution respiratory changes associated with severe anemia, initially being treated in suspected of characteristics of laboratory, clinical, radiological and immunological as pulmonary tuberculosis and anemia, partly improvement by TB treatment with TAES and oral iron supplements.
Subsequently presents a respiratory relapse, performing bronchoalveolar lavage (BAL), isolated by growing Mycobacterium avium (confirmed in Tucson city, Arizona) also showed hemosiderophages, receiving antifímico (TAES) associated to Clarithromycin for 15 months, with prednisone 2mgkg/day for Idiopathic pulmonary hemosiderosis. As a result of treatment the patient was currently asymptomatic respiratory and corrected his anemic. But 2 months after readjusting handling when diminishing medicamentosas doses, by this evolution, he presents massive bleeding that causes its death.
Conclusions: Diagnosis of pulmonary infection by atypical mycobacteria is rare in pediatric patients, but with a poor response to treatment antifimic of a patient, we are obliged to investigate resistant or atypical mycobacteria as well as the association with other disorders of base. In this case the association of Mycobacterium Avium infection and pulmonary hemosiderosis in a partnership rarely described in medical literature.

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