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Non-tuberculosis Mycobacterial Lung Infection from the Position of Computed Tomography (Clinical Observation)

https://doi.org/10.52560/2713-0118-2024-5-53-64

Abstract

Mycobacterioses are caused by a large number of conditionally pathogenic mycobacteria that are widespread in the environment. The incidence of diseases caused by nontuberculosis mycobacteria (NTMB) is steadily increasing due to an increase in the number of immunoscompromised patients.

The aim of the study was to analyze controversial issues encountered in the differential diagnosis of tuberculosis and non-tuberculosis mycobacterial infection.

Materials and methods. The study was performed on a 64–slice GE REVOLUTION EVO computed tomograph.

Discussion. Based on the anamnesis and the results of a microbiological study, the attending physician eventually diagnosed a non-tuberculosis mycobacterial infection and prescribed appropriate treatment.

Conclusion. Despite the fact that in most cases the radiological and clinical picture of non-tuberculosis mycobacteriosis is nonspecific, there are clinical and radiological syndromes highly specific for non-tuberculosis mycobacteriosis.

About the Authors

T. G. Morozova
Smolensk State Medical University, Ministry of Healthcare of Russia; Regional State Institution of Healthcare «Clinical Hospital No. 1»
Russian Federation

Morozova Tat'yana Gennad’evna - M. D. Med., Associate Professor, Head of the Department of Radiation Diagnostics and Radiation Therapy with the course of APE of the Smolensk SMeU, MHR. Radiologist of the Regional State Institution of Healthcare "Clinical Hospital No. 1".

28, Krupskoj str., Smolensk, 214019, +7 (481) 255-34-09



A. I. Kunin
Smolensk State Medical University, Ministry of Healthcare of Russia
Russian Federation

Kunin Aleksandr Igorevich - resident of 2 years of study in the specialty "Radiology".

46, Kirova str., Smolensk, 214019, +7 (920) 325-75-22



References

1. Amansakhedov R. B., Dmitrieva L. I., Smirnova T. G., Egorova A. D., Ergeshov A. E. Radiological Semiotics of Different Types of Nontuberculous Pulmonary Mycobacterioses. Journal of Radiology and Nuclear Medicine. 2022;103(1-3):30-37. (In Russ). https://doi.org/10.20862/0042-4676-2022-103-1-3-30-37

2. Anisimova A. I., Pavlova M. V., Archakova L. I., Sapozhnikova N. V., Chernokhaeva I. V., Gavrilov P. V., Sokolovich E. G. Mycobacteriosis of the lungs: difficulties of diagnosis and treatment (literature review). Medical Alliance. 2020;8(1): 25-29. (In Russ.). https://doi.org/10.36422/23076348-2020-8-1-25-31

3. Guntupova L. D., Franczuzevich L. Ya., Akishina Yu. P., Belevskij A. S, Bobkov A. P., Bogorodskaya E. M., Borisov S. E. Vorob`ev A. A., Garmash Yu. Yu. Zyuzya Yu. R., Kravchenko N. Yu., Litvinov V. I., Makarova M. V. Xachatur'yancz E. N. Mikobakteriozy' organov dy'xaniya. Federal'ny`e klinicheskie rekomendacii po vedeniyu bol'ny'x. M., 2022. 127 p. (In Russ.).

4. Makarova M. V., Guntupova L. D. Nontuberculous mycobacteria. BIO-logics.Prevention, diagnosis, treatment. 2020;20(2): 97-102. (In Russ.). https://doi.org/10.30895/2221-996X-2020-20-2-97-102

5. Martines-Khimenes S., Rozado-de-Kristenson M. L., Karter B. V. Specialty Imaging. HRCT of the Lung. Moscow: Izdatel'stvo Panfilova, 2022. P. 168–179. (In Russ).

6. Starkova D. А., Zhuravlev V. Yu., Vyazovaya А. А., Solovieva N. S., Kulikova O. N., Narvskaya O. V. Species diversity of non-tuberculous mycobacteria in patients with mycobacteriosis in the North-Western Federal District of Russia. Tuberculosis and Lung Diseases. 2019; 97(6):16-22. (In Russ.). http://doi.org/10.21292/2075-1230-2019-97-6-16-22

7. Haworth C. S, Banks J., Capstick T., Fisher A. J., Gorsuch T., Laurenson I. F., Leitch A., Loebinger M. R., Milburn H. J., Nightingale M., Ormerod P., Shingadia D., Smith D., Whitehead N., Wilson R., Floto R. A. British Thoracic Society guidelines for the management of nontuberculous mycobacterial pulmonary disease (NTM-PD). Thorax. 2017;72 (Suppl 2):1-64. https://doi.org/10.1136/thoraxjnl-2017-210927

8. Honda J. R., Virdi R., Chan E. D. Global environmental nontuberculous myco-bacteria and their contemporaneous man-made and natural niches. Front Microbiol. 2018;9:1-11. https://doi.org/10.3389/fmi cb.2018.02029

9. Nardell E. A. Wells Revisited: Infectious Particles vs. Quanta of Mycobacterium tuberculosis Infection Don’t Get Them Confused. Mycobacterial Diseases. 2016; 6(5):1-3. https://doi.org/10.4172/2161-1068.1000231

10. Norton G. J., Williams M., Falkinham J. O. 3rd, Honda JR. Physical measures to reduce exposure to tap water-associated nontuberculous mycobacteria. Front Public Health. 2020;8:1-12. https://doi.org/10.3389/fpubh.2020.00190


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For citations:


Morozova T.G., Kunin A.I. Non-tuberculosis Mycobacterial Lung Infection from the Position of Computed Tomography (Clinical Observation). Radiology - Practice. 2024;(5):53-64. (In Russ.) https://doi.org/10.52560/2713-0118-2024-5-53-64

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ISSN 2713-0118 (Online)