Sequential bilateral lung resection in a patient with Mycobacterium abscessus lung disease refractory to medical treatment

Seung Heon Lee, Joo Won Min, Sang Won Um, Seon Sook Han, Sung Koo Han, Young Soo Shim, Jae Joon Yim

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)

    Abstract

    Mycobacterium abscessus (M. abscessus) is the second most common nontuberculous mycobacteria (NTM) in South Korea. Nevertheless, the diagnosis and treatment of M. abscessus lung disease can be problematic. Surgical resection has been tried for patients with localized M. abscessus lung disease refractory to medical treatment. Here, we report on a 25-year-old woman with M. abscessus lung disease who had been diagnosed and treated three times for pulmonary tuberculosis. She was initially diagnosed as having M. intracellulare lung disease; however, M. abscessus was isolated after several months of medication. She had multiple bronchiectatic and cavitary lesions bilaterally, and M. abscessus was repeatedly isolated from her sputa despite prolonged treatment with clarithromycin, ethambutol, moxifloxacin, and amikacin. She improved only after sequential bilateral lung resection. Based on the experience with this patient, we suggest that, if medical treatment fails, surgical resection of a diseased lung should be considered even in patients with bilateral lesions.

    Original languageEnglish
    Pages (from-to)141-144
    Number of pages4
    JournalYonsei medical journal
    Volume51
    Issue number1
    DOIs
    Publication statusPublished - 2010 Jan

    Keywords

    • Atypical mycobacteria
    • Surgery
    • Therapeutics

    ASJC Scopus subject areas

    • Medicine(all)

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