Roentgenographic features of pulmonary disease caused by atypical mycobacteria
Autor: | John H. Woodring, I G Melvin, M L Dillon, H M Vandiviere |
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Rok vydání: | 1987 |
Předmět: |
Male
medicine.medical_specialty Tuberculosis Time Factors business.industry Tuberculin Test Medical record Pulmonary disease Mycobacterium Infections Nontuberculous Nontuberculous Mycobacteria General Medicine Disease Middle Aged equipment and supplies bacterial infections and mycoses medicine.disease Dermatology Radiography medicine bacteria Humans Female business Tuberculosis Pulmonary Retrospective Studies |
Zdroj: | Southern medical journal. 80(12) |
ISSN: | 0038-4348 |
Popis: | In a retrospective evaluation of chest roentgenograms and medical records of 40 patients with non-M tuberculosis (atypical) mycobacterial pulmonary disease, 34 had M avium-intracellulare, five had M kansasii, and one had M fortuitum. The roentgenologic spectrum of disease closely resembled that of M tuberculosis. One third of the patients had predisposing factors, and the disease predominated in middle-aged and elderly men. Two thirds of the patients had slow progression of the disease, with an average of 6.4 years before roentgenographic changes occurred. The diagnosis was frequently missed, and in most of the patients it was delayed from one to 16 years. Only after chronic, slow disease progression was atypical mycobacteriosis suspected clinically. The more widespread application of multiple simultaneous skin tests for atypical mycobacteria may improve the diagnosis and prognosis of this disease. |
Databáze: | OpenAIRE |
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