Atypical mycobacterial infection masquerading as an endobronchial growth in an immunocompromised host.

Autor: Thomas, Arun Rajan, Prasad, Virender Pratibh, Sethi, Shweta, Maturu, Venkata Nagarjuna
Zdroj: BMJ Case Reports; Apr2023, Vol. 16 Issue 4, p1-3, 3p
Abstrakt: Non-tuberculous mycobacteria (NTM) are ubiquitous organisms. Endobronchial growth as a presenting feature of NTM disease is uncommon. Here we present a case of a patient with retroviral disease on antiretroviral therapy, presenting with cough, wheezing and exertional dyspnoea. High-resolution CT showed a partial obstruction of the left main bronchus (LMB). Bronchoscopy showed an endobronchial growth in the distal LMB. An endobronchial biopsy showed nonnecrotising granulomas; bronchial wash for acid-fast bacilli was positive and culture grew Mycobacterium avium complex. He was treated with a combination therapy of clarithromycin, rifampicin and ethambutol. Repeat bronchoscopy after 6 weeks of therapy showed complete resolution of the endobronchial growth. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index