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Rinitis crónica asociada con la infección por Mycobacterium avium: un informe de caso de CARE

J-P Martellosio¹, L Deroche², M Garcia³

¹Service de Médecine Interne, Centre Hospitalier Universitaire de Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France.

European annals of otorhinolaryngology, head and neck diseases

|August 20, 2025

Resumen

La infección nasal por Mycobacterium avium es rara y difícil de diagnosticar. Una evaluación microbiológica rápida y una combinación de resección quirúrgica y terapia con antibióticos son cruciales para el tratamiento eficaz de esta rinitis crónica atípica.

Área de la Ciencia:

Otorrinolaringología
Enfermedades infecciosas
Microbiología

Sus antecedentes:

La infección nasal por Mycobacterium avium presenta desafíos de diagnóstico debido a los síntomas no específicos.
La rinitis crónica atípica refractaria a los tratamientos estándar justifica la consideración de las infecciones raras.

Objetivo del estudio:

Para reportar un caso de infección nasal por Mycobacterium avium.
Para resaltar las estrategias diagnósticas y terapéuticas para esta rara condición.

Principales métodos:

Informe de caso de un paciente de 72 años con rinitis crónica.
Los procedimientos de diagnóstico incluyeron el examen ENT, la histología con tinción de Ziehl-Neelsen y el cultivo de micobacterias.
El tratamiento consistió en una resección quirúrgica y una combinación de antibióticos.

Principales resultados:

La histología reveló granuloma epitelial y bacilo ácido-rápido.
El cultivo de micobacterias confirmó la presencia de Mycobacterium avium.
El tratamiento combinado condujo a una mejora clínica significativa y a la resolución de la inflamación.

Conclusiones:

La infección nasal por Mycobacterium avium es excepcional y requiere confirmación histológica y microbiológica.
El tratamiento implica intervención quirúrgica y tratamiento prolongado con antibióticos.
Considere Mycobacterium avium en los casos de rinitis crónica refractaria.

Palabras clave:

La rinitis crónica Inmunodepresión Pólipo inflamatorio Micobacterium avium y sus derivados Infección nasal

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