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首页> 外文期刊>Journal of bronchology: dedicated to the art and science of bronchoscopy and related disciplines >Bronchoscopic Diagnosis of Mycobacterium avium complex in Kartagener Syndrome
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Bronchoscopic Diagnosis of Mycobacterium avium complex in Kartagener Syndrome

机译:在Kartagener综合征中鸟分枝杆菌复合物的支气管镜诊断。

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摘要

We report a case of a patient with Kartagener syndrome and bronchiectasis who presented with prolonged course of unremitting fever and respiratory tract infection. Gram stain of multiple samples of expectorated sputa showed gram-negative rods and gram-positive cocci. Despite treatment with broad-spectrum oral and later intravenous antibiotics, her condition did not improve. However, bronchoscopic collection of bronchoalveolar lavage fluid showed abundance of Mycobacterium avium complex (MAC), which was not previously detected on the sputa. In patients with ciliary dysfunction, including patients with Kartagener syndrome, yield of bronchoscopic bronchoalveolar lavage for diagnosis of mycobacteria is superior to expectorated sputa.
机译:我们报告了一例患有Kartagener综合征和支气管扩张的患者,患者长期伴有持续的持续发烧和呼吸道感染。多个痰样痰的革兰氏染色显示革兰氏阴性杆菌和革兰氏阳性球菌。尽管使用广谱口服和后期静脉使用抗生素治疗,但她的病情并没有改善。然而,支气管镜收集的支气管肺泡灌洗液显示出大量的鸟分枝杆菌复合物(MAC),这是以前在痰中未检测到的。在患有睫状功能障碍的患者(包括患有Kartagener综合征的患者)中,用于诊断分枝杆菌的支气管镜支气管肺泡灌洗的产量要优于排痰。

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