title: Mycobacterium kansasii infection following primary pulmonary malignancy.
abstract: The purpose of this study was to determine whether any of the Mycobacterium kansasii cases were the consequences of primary lung malignancy. The records and chest x-ray films of 295 patients with M kansasii pulmonary infection were reviewed. The infection was found to complicate the primary lung neoplasm in four cases. Three patients had had treatment for malignancy: one patient with small cell carcinoma received chemotherapy, steroids and radiation; one with adenocarcinoma underwent a lobectomy and radiation; and the third patient had a lobectomy and radiation for malignant fibrohistiocytoma. The fourth patient developed the infection three years after lung malignancy manifested itself, which was only a few months before the clinical evidence of distant metastasis with adenocarcinoma was detected. We suggest that this infection be considered in patients from M kansasii endemic areas, especially after they have received radiation treatment for lung malignancy. This association has never been described before.
authors.affiliation: VA Hospital, Hines, Ill.
authors.forename: J R
authors.initials: JR
authors.lastname: Zvetina
authors.forename: N
authors.initials: N
authors.lastname: Maliwan
authors.forename: W E
authors.initials: WE
authors.lastname: Frederick
authors.forename: C
authors.initials: C
authors.lastname: Reyes
mesh_terms: D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging