RESUMO
Classification of atypical mycobacteria, problems related to their identification, epidemiological, clinical, radiological and pathohistological presentation of mycobacteriosis are given. Up-to-date alternatives for treatment of these patients are also given. Finally, three cases treated at the VII Clinical Ward of the Institute of Pulmonary Diseases and TBC in the course of 1990 are presented. In two of them Mycobacterium avium was isolated. In all three cases the same strains were isolated and identified repeatedly.
Assuntos
Infecções por Mycobacterium não Tuberculosas , Humanos , Infecções por Mycobacterium não Tuberculosas/diagnóstico , Infecções por Mycobacterium não Tuberculosas/terapia , Micobactérias não Tuberculosas/classificaçãoRESUMO
Pseudomonas aeruginosa is an ubiquitous microorganism, which is characterised with low virulence and moderately sensitive to antibiotics. Significance of identification of the bacteria in the sputum varies. In severe cases, exhausted by more simultaneous diseases, it can be manifested as a pathogenic agent. At the Institute of Pulmonary Diseases and Tuberculosis, UCC in Belgrade Pseudomonas was isolated in the sputum samples of 48 patients. The organism was apathogenic in 28 (59%) cases, in 17 (35%) cases it caused chronic suppuration, and in 3 (6%) pneumonia. No specific antipseudomonas therapy is needed in patients in good general condition, contrary to cases of manifested infection where two antibiotics, physical therapy and other measures are indicated. Basic disease determines prognosis of the infection course. Medical approach to this problem should be characterised by prevention of the infection occurrence.
