Mycobacterium kansasii Pneumonia with Mediastinal Lymphadenitis in a Patient with Acute Myeloid Leukemia: Successful Treatment to Stem Cell Transplantation / 감염과화학요법
Infection and Chemotherapy
; : 78-83, 2017.
Article
en En
| WPRIM
| ID: wpr-81398
Biblioteca responsable:
WPRO
ABSTRACT
Non-tuberculous mycobacterial (NTM) disease is a relatively rare cause of neutropenic fever in patients with hematologic malignancies. During the neutropenic period, performing invasive procedures for microbiological or pathological confirmation is difficult. In addition, the optimal treatment duration for NTM disease in patients with leukemia, especially prior to stem cell transplantation (SCT), has not been documented. Therefore, we report a case of pneumonia with necrotizing lymphadenitis caused by Mycobacterium kansasii diagnosed during chemotherapy being performed for acute myeloid leukemia. The radiologic findings were similar to those of invasive fungal pneumonia; however, a bronchoalveolar washing fluid culture confirmed that the pathogen was M. kansasii. After 70 days from starting NTM treatment, allogeneic SCT was performed without any complications. The patient fully recovered after 12 months of NTM treatment, and neither reactivation of M. kansasii infection nor related complications were reported.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Neumonía
/
Células Madre
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Leucemia Mieloide Aguda
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Leucemia
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Neoplasias Hematológicas
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Mycobacterium kansasii
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Trasplante de Células Madre
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Quimioterapia
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Fiebre
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Linfadenitis
Límite:
Humans
Idioma:
En
Revista:
Infection and Chemotherapy
Año:
2017
Tipo del documento:
Article