2016, Number 1
<< Back Next >>
Rev Fac Med UNAM 2016; 59 (1)
Lady Windermere Syndrome as a cause of chronic cough. Report of a case
Valdivies YJL, Sánchez ORB, Osés HL
Language: Spanish
References: 7
Page: 21-24
PDF size: 531.26 Kb.
ABSTRACT
The nontuberculous mycobacteria are rarely recognized today
in the world, being increased their prevalence about
to departure of their suspicion in chronic illnesses such as
inmunocompromised patients and cystic fibrosis. We present
a case with diagnosis of syndrome of Lady Windermere
about to departure of a square of chronic cough. Computed
tomography was performed where bilateral bronchiectasis
is observed in the left lingual segment and right upper lobe.
In the Bronchoscopy was isolated complex
Mycobacterium
avium-intracellulare. The lack of suspicion of nontuberculous of chronic cough leads to the delay in the diagnosis and the
patient’s clinical deterioration
mycobacteria in patient without risk factors, with a square.
REFERENCES
Griffith DE, Wallace RJ Jr. Treatment of nontuberculous mycobacterial infections of the lung in HIV-negative patients. En: Basow DS (editor). UpToDate. Waltham, MA: UpToDate; 2009.
Arend SM, van Soolingen D, Ottenhoff TH. Diagnosis and treatment of lung infection with nontuberculous mycobacteria. Curr Opin Pulm Med. 2009;15:201-8.
Reich JM, Johnson RE. Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern. The Lady Windermere syndrome. Chest. 1992;101:1605-9.
Wilde O. Lady Windermere’s Fan. Publicado en The Importance of Being Earnest and Other Plays. London: Penguin; 1940. ISBN 0-14-048209-1.
Baran E. Mycobacterium avium complex en paciente inmunocompetente. Neumol Cir Torax. 2012;71(2):170-3.
Hopewell P, Bloom B. Tuberculosis and other mycobacterial diseases. En: Murray J, Nadel J (eds). Textbook of respiratory medicine. 3rd ed. Philadelphia: Saunders; 2000. pp 1090-105.
Field SK, Fisher D, Cowie RL. Mycobacterium avium complex pulmonary disease in patients without HIV infection. Chest. 2004;126:566-81.