[Mycobacterium xenopi infection in emphysematous bulla. Apropos of 4 cases operated on].
The authors presented their observations of four patients who were operated on for a supra-infection of emphysematous bullae by Mycobacterium xenopi. In two cases the patients were operated on without a diagnosis and excision of the right upper lobe assured their cure. The other patient underwent a decortication and ultimately relapsed. The fourth had a bilateral apical infection and underwent bilateral excision. A survey of the literature leads one to think that pulmonary infections with a Mycobacterium xenopi occur in emphysematous bullae more often than is generally thought. The unreliability of the results of antituberculous drugs, the complications of treatment and the risks of recurrence after treatment are well known. Controlled surgical excision of the lesions, which is most often followed by a definitive cure, always merits consideration as part of the therapeutic arsenal.
Centre Chirurgical Val d'Or Saint-Cloud.
J
J
Bellamy
E
E
Leroy-Terquem
J P
JP
Duhamel
C
C
Choffel
G
G
Fraboulet
G
G
Tobelem
P
P
Verdoux
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000382:microbiology; D011656:Pulmonary Emphysema / Q000150:complications* / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000150:complications*
Infection à Mycobacterium xenopi dans des bulles d'emphysème. A propos de 4 cas opérés.