在免疫能力强的患者中非结核性Mycobacterium鼻炎
Michelle G Tomlinson1, Shreya Chidarala1, Brian C Lobo2
1Infectious Diseases and Global Medicine, College of Medicine, University of Florida, Gainesville, USA.
Cureus
|September 25, 2023
概括
这项研究详细介绍了一例罕见的非结核性菌根菌 (NTM) 鼻炎病例,该病例发生在免疫能力强的患者身上. 及时诊断和延长抗生素治疗对于管理NTM感染至关重要,即使在健康人群中也是如此.
科学领域:
- 传染性疾病 传染性疾病
- 微生物学 微生物学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 非结核菌 (NTM) 是机会性病原体,引起各种感染.
- 慢性鼻炎是一种罕见的NTM表现,通常在免疫受损的个体中见到.
- 危险因素包括异物,先前的鼻手术和受污染的鼻冲洗水.
研究的目的:
- 在免疫能力强的患者中报告罕见的NTM鼻炎病例.
- 强调在耐火性鼻炎中考虑NTM的重要性.
- 强调对NTM感染需要延长抗生素治疗的必要性.
主要方法:
- 一个66岁免疫能力强的女性患有NTM鼻炎的病例报告.
- 通过在手术中生长的酸快细菌培养 (Mycobacterium abscessus) 证实了诊断.
- 治疗包括功能性内镜外科手术,静脉注射抗生素和长期服用口服抗生素.
主要成果:
- 成功的手术和医疗管理NTM鼻炎.
- 患者在手术后一年显示完全愈合和没有感染.
- 这一案例增加了有关NTM鼻炎在免疫能力较强个体中的有限文献.
结论:
- 在对耐火性鼻炎的差异诊断中,无论免疫状况如何,都应考虑NTM.
- 免疫能力强的患者可能会患上NTM鼻炎.
- 延长的抗生素治疗通常是成功治疗的必要条件.
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