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Abstract

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Article in Japanese

Case Report

A case of mixed pulmonary infection with Mycobacterium intracellulare and M. abscessus subsp. abscessus

Hideto Oshita  Asami Inoue  Yuka Sano  Koji Yoshioka  Yasuhiko Ikegami  Naoki Yamaoka 

Department of Respiratory Medicine, Federation of National Public Service and Affiliated Personnel Mutual Aid Associations, Yoshijima Hospital

ABSTRACT

Mycobacterium intracellulare and M. abscessus subsp. abscessus were detected in the lower respiratory tract specimen of a 59-year-old woman. She was diagnosed with a mixed infection, and treated with imipenem/cilastatin, amikacin, azithromycin, ethambutol, sitafloxacin, and clofazimine, which resulted in improvement of imaging findings. Thereafter, intravenous amikacin and oral antibacterial agents were continued. The management of patients with mixed infection of non-tuberculous mycobacteria is a clinical problem, and the results of drug susceptibility tests are important in determining treatment.

KEYWORDS

Non-tuberculous mycobacteria (NTM)  Mixed infection  Drug susceptibility test 

Received 23 Aug 2023 / Accepted 15 Sep 2023

AJRS, 13(1): 14-17, 2024

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