[Medical-surgical treatment of pulmonary infection with Mycobacterium malmoense].
METHODS
We report the case of a patient with chronic obstructive pulmonary disease in whom pulmonary infection due to mycobacterium malmoense was discovered unexpectedly. A diagnostic and therapeutic surgical resection was performed.


CONCLUSIONS
The non-tuberculous mycobacterium was identified by culture of the specimen. Surgery was followed by empirical antibiotic treatment with rifampicin and pyrazinamide for two and a half months. Isoniazid was withdrawn rapidly on account of hepatitis and the treatment was supplemented later with clarithromycin, leading to a total duration of treatment of seven and a half months. This case is unusual because of its medico-surgical management that led to assessment and appropriate treatment of this infection.
Job
V
V
Service de pneumologie, CHU Saint-Etienne, Saint-Etienne, France. pneumologie.hn@chu-st-etienne.fr
Lacaze
O
O
Carricajo
A
A
Fournel
P
P
Vergnon
J M
JM
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use*; D017291:Clarithromycin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents; D017291:Clarithromycin