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2014, Number 1

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Revista Habanera de Ciencias Médicas 2014; 13 (1)

Lung mycobacteriosis. Presentation of two surgical cases

Fernández ON, Díaz TM, Valdés QML, Crespo DTT, Díaz LO

Language: Spanish
References: 16
Page: 61-71
PDF size: 319.98 Kb.


ABSTRACT

Introduction: Mycobacteriosis is a disease caused by environmental mycobacteria, until a few years ago its diagnosis was an occasional event. Today it has become a relatively frequent pathology, mainly in patients with AIDS and associated to chronic lung diseases. It requires aggressive treatments as well as surgical exeresis in the event of localized lung affections.
Objective: determine the importance of the surgery as an alternative treatment when the pharmacological treatment fails.
Case Presentation: two cases were presented with a diagnosis of environmental mycobacteriosis, caused by Mycobacterium Avium. Patients had respiratory symptoms of long evolution, mainly cough, expectoration, and associated fever. In the second case there were records of frequent pneumonias during childhood with diagnosed bronchiecstasias. In both cases in the sputum culture the Mycobacterium Avium was isolated, the Mantoux test was negative (0 mm) and in the radiological studies there were shapes that are usually seen in this disease caused by fibrocavitary lesions in the upper lobes.
Conclusions: in the cases that were presented the pharmacological treatment normally recommended at present times failed, and the sputum cultures positive to Mycobacterium Avium persisted. Surgical treatment was conducted with positive results, negative sputums and improvement in the clinical condition.


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