Pulmonary disease by mycobacterium intracellulare in an immunocompetent patient: Report of a case in Peru

Authors

  • Roberto Alfonso Accinelli Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Hospital Cayetano Heredia, Lima, Perú. Médico neumólogo; maestro en salud pública
  • Alfredo Camposano Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Estudiante de medicina

DOI:

https://doi.org/10.17843/rpmesp.2020.372.4632

Keywords:

Mycobacterium tuberculosis, Mycobacterium avium Complex, Gastroesophageal Reflux, Nontuberculous Mycobacteria, Depression

Abstract

We present the case of an immunocompetent patient whose illness began at age 49 with a cough, followed by purulent and hemoptoic sputum; bronchiectasis was diagnosed. Three years later, after hemoptysis, she underwent medial segmentectomy of the middle lobe and was asymptomatic for months. When tuberculosis was found in the pathology report, she was treated with 4HREZ2R2H2. Five years later her BK was 2+, thus receiving a new scheme of 4HREZ2R2H2, which did not succeed in obtaining negative results and the treatment was declared as a failure. After genotyping her Mycobacterium intracellulare culture, the patient received azithromycin, moxifloxacin and ethambutol. There was improvement, but she abandoned the treatment at 8 months; she restarted it 18 months later, along with treatment for depression and gastroesophageal reflux. After one month the patient was asymptomatic, but she had a dermal reaction to moxifloxacin which was replaced with amikacin. One year later, she was cured and discharged, at the age of 64.

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Author Biography

  • Roberto Alfonso Accinelli, Instituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia, Lima, Perú. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú. Hospital Cayetano Heredia, Lima, Perú. Médico neumólogo; maestro en salud pública
    Director del Insituto de Investigaciones de la Altura, Universidad Peruana Cayetano Heredia.

Published

2020-06-16

Issue

Section

Case Report

How to Cite

1.
Accinelli RA, Camposano A. Pulmonary disease by mycobacterium intracellulare in an immunocompetent patient: Report of a case in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2020 Jun. 16 [cited 2024 Jun. 25];37(2):361-6. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/4632

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