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Surgical management in atypical pulmonary tuberculosis (MAIS complex)
The Medical Journal of Australia
|June 26, 1976
Summary
Surgical management of Mycobacterium avium-intracellulare-scrofulaceum (MAIS) complex pulmonary infections yielded satisfactory results in 89% of cases. Lung tissue resection remains a viable treatment option for suitable MAIS patients.
Area of Science:
- Pulmonology
- Infectious Diseases
- Surgical Management
Background:
- Mycobacterium avium-intracellulare-scrofulaceum (MAIS) complex causes pulmonary infections.
- Management of MAIS complex pulmonary infections can be challenging.
Purpose of the Study:
- To review surgical outcomes for patients with MAIS complex pulmonary infection.
- To evaluate the long-term efficacy of surgical intervention for MAIS disease.
Main Methods:
- Retrospective review of 44 patients with MAIS complex pulmonary infection who underwent surgery.
- Analysis of treatment outcomes, including relapse and mortality.
- Follow-up periods ranging from nine months to 14 years post-surgery.
Main Results:
- Satisfactory treatment results were achieved in 89% of cases.
- Relapse occurred in 3 cases.
- Late mortality occurred in 2 patients due to surgical complications.
Conclusions:
- Surgical resection of lung tissue is an effective treatment for suitable cases of MAIS complex pulmonary infection.
- Despite advances in antituberculosis drugs, surgery remains a critical therapeutic option.
- Surgical intervention offers a high success rate for managing MAIS pulmonary disease.