title: Mycobacterium abscessus complex lung infection in a toddler with a tracheostomy.
abstract: Mycobacterium abscessus complex and other non-tuberculous mycobacteria are infrequently encountered respiratory pathogens in patients with tracheostomies. We report a 4-year-old girl with a tracheostomy, placed during infancy for management of severe bronchopulmonary dysplasia and laryngeal stenosis, who developed a M. abscessus complex lung infection. There was clear evidence of parenchymal involvement and true infection beyond colonization. She demonstrated dramatic clinical, laboratory, and radiographic improvement after prolonged anti-mycobacterial therapy.
authors: Division of Pulmonary and Sleep Medicine, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
authors: Kensho
authors: K
authors: Iwanaga
authors: Edward R
authors: ER
authors: Carter
mesh_terms: D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001997:Bronchopulmonary Dysplasia / Q000150:complications; D002675:Child, Preschool; D017291:Clarithromycin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000150:complications / Q000601:surgery*; D008911:Minocycline / Q000031:analogs & derivatives / Q000627:therapeutic use; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000078304:Tigecycline; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000078304:Tigecycline; D000583:Amikacin; D008911:Minocycline; D017291:Clarithromycin
keywords: child; non-tuberculous mycobacteria; tracheostomy