Aljishi Ahmed, Alwazzeh Marwan Jabr, Kristjansson Mar
Department of Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia
Department of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia.
BMJ Case Rep. 2021 Mar 2;14(3):e234800. doi: 10.1136/bcr-2020-234800.
A 69-year-old man renal transplant recipient for 4 years, presented with 4-day history of cough and dyspnoea. He was diagnosed with community-acquired pneumonia and treated accordingly. He deteriorated requiring intensive care unit admission and intubation. Mycobacterial culture from bronchoalveolar lavage grew colonies within 7 days of incubation while PCR was negative. The antibiotic regimen was adjusted to cover for rapidly growing mycobacteria with imipenem, amikacin and clarithromycin. The final culture reported He improved on the antibiotic regimen given which the organism turned to be sensitive to. We reported the second case with that fulfilled the diagnostic criteria for non-tuberculous mycobacterial lung infection. Improvement of patient's lung infection on appropriate antibiotics points to a causal relationship.
一名69岁男性，肾移植受者，病程4年，出现咳嗽和呼吸困难4天。他被诊断为社区获得性肺炎并接受相应治疗。病情恶化后需要入住重症监护病房并插管。支气管肺泡灌洗的分枝杆菌培养在孵育7天内长出菌落，而聚合酶链反应（PCR）为阴性。抗生素治疗方案调整为使用亚胺培南、阿米卡星和克拉霉素以覆盖快速生长的分枝杆菌。最终培养结果报告显示……给予的抗生素治疗方案使他病情好转，该病原体对该方案敏感。我们报告了第二例符合非结核分枝杆菌肺部感染诊断标准的病例。使用适当抗生素后患者肺部感染得到改善表明存在因果关系。
