File(s) not publicly available
Atypical mycobacterial pulmonary disease and bronchial obstruction in HIV-negative children
journal contributionposted on 1998-12-01, 00:00 authored by N D Dore, P N Lesouef, B Masters, P W Francis, D M Cooper, J H Wildhaber, A J Fall, Peter SlyPeter Sly
Atypical mycobacterial infection in HIV-negative children usually presents with cervical lymphadenopathy. We report on 10 children who are HIV- negative and who presented with pulmonary disease, in whom either culture- proven atypical mycobacterium infection (four), positive avian Mantoux test (five), or lack of response to human tuberculosis treatment (one) had been observed. One case was subsequently diagnosed as chronic granulomatous disease and illustrates that children with atypical mycobacterial pulmonary infection should have their immune status fully investigated. Bronchial obstruction was observed in eight cases, and of these, endobronchial disease was found in six children. The diagnosis of atypical mycobacterial disease is difficult, and a negative avian Mantoux test does not exclude the diagnosis. The availability of clarithromycin and rifabutin has offered new therapeutic options in treating atypical mycobacterial pulmonary infection, but management of these cases can be prolonged and difficult.
Pagination380 - 388
Read the peer-reviewed publication
Science & TechnologyLife Sciences & BiomedicinePediatricsRespiratory Systematypical mycobacteriapulmonary diseaseendobronchitisbronchial obstructionchronic granulomatous diseasePOLYMERASE CHAIN-REACTIONAVIUM COMPLEXNONTUBERCULOUS MYCOBACTERIAINFECTIONTUBERCULOSISINTRACELLULAREDIAGNOSISSUSCEPTIBILITYLYMPHADENITISMANAGEMENT