Arttawejkul Pureepat, Kongpolprom Napplika
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Thai Red Cross, Thailand.
Respir Med Case Rep. 2018 May 17;24:150-152. doi: 10.1016/j.rmcr.2018.05.014. eCollection 2018.
A 56-year-old previously healthy female presented with chronic productive cough and fever. Chest X-ray revealed right middle lung opacities. Sputum acid fast bacilli smear was positive, however polymerase chain reaction was negative for . Further investigations were pursued, which identified Appropriate therapy with isoniazid, rifampin and clarithromycin for total 18 months (including pyrazinamide and ethambutol for first 4 months) resulted in clinical and radiographic improvement. Recognition of the possibility of this rarely described pulmonary pathogen is essential for successful treatment.
一名56岁既往健康的女性出现慢性咳痰和发热症状。胸部X线显示右中肺有阴影。痰抗酸杆菌涂片呈阳性，但聚合酶链反应检测为阴性。进一步检查后，发现了……给予异烟肼、利福平及克拉霉素进行为期18个月的适当治疗（前4个月还包括吡嗪酰胺和乙胺丁醇），临床症状及影像学表现均有改善。认识到这种极少被描述的肺部病原体存在的可能性对于成功治疗至关重要。
