title: [Pulmonary Mycobacterium abscessus sensu lato infection in patients without cystic fibrosis].
abstract: BACKGROUND
  Infection with Mycobacterium abscessus sensu lato is uncommon in patients without cystic fibrosis. We are interested in these patients and have collected cases in Finistère between 2007 and 2011.
  
  
  METHODS
  Four patients met the infection criteria recommended by the American Thoracic Society in 2007. Among them, all had Aspergillus spp. in sputum, 3 had gastroesophageal reflux and two had the criteria for allergic bronchopulmonary aspergillosis. We identified Mycobacterium massiliense in the single patient in our series whose therapeutic outcome was successful.
  
  
  CONCLUSIONS
  By comparing these data with those in the literature, we believe that the search for allergic bronchopulmonary aspergillosis and gastroesophageal reflux is necessary in these patients and that species identification is essential for prognosis.
authors.affiliation: Département de médecine interne et pneumologie, hôpital La-Cavale-Blanche, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest, France; Unité de bactériologie, hôpital La-Cavale-Blanche, CHRU de Brest, 29609 Brest, France; EA3882-LUBEM, SFR148 ScInBioS, université de Brest, 29609 Brest, France. Electronic address: annabelle.payet.c@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Payet
authors.affiliation: Unité de bactériologie, hôpital La-Cavale-Blanche, CHRU de Brest, 29609 Brest, France; EA3882-LUBEM, SFR148 ScInBioS, université de Brest, 29609 Brest, France.
authors.forename: G
authors.initials: G
authors.lastname: Héry-Arnaud
authors.affiliation: Service des maladies infectieuses, hôpital La-Cavale-Blanche, CHRU de Brest, 29609 Brest, France; LaTIM, UMR 1101, université de Brest, 29609 Brest, France.
authors.forename: S
authors.initials: S
authors.lastname: Ansart
authors.affiliation: Département de médecine interne et pneumologie, hôpital La-Cavale-Blanche, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest, France.
authors.forename: A
authors.initials: A
authors.lastname: Barnier
authors.affiliation: Unité de bactériologie, hôpital La-Cavale-Blanche, CHRU de Brest, 29609 Brest, France; EA3882-LUBEM, SFR148 ScInBioS, université de Brest, 29609 Brest, France.
authors.forename: D
authors.initials: D
authors.lastname: Quinio
authors.affiliation: Unité de bactériologie, hôpital La-Cavale-Blanche, CHRU de Brest, 29609 Brest, France; EA3882-LUBEM, SFR148 ScInBioS, université de Brest, 29609 Brest, France.
authors.forename: M-S
authors.initials: MS
authors.lastname: Fangous
authors.affiliation: Département de médecine interne et pneumologie, hôpital La-Cavale-Blanche, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest, France; EA3878, CIC Inserm 0502, IFR 148, département de médecine interne et pneumologie, université européenne de Bretagne, 29609 Brest, France.
authors.forename: C
authors.initials: C
authors.lastname: Leroyer
authors.affiliation: Département de médecine interne et pneumologie, hôpital La-Cavale-Blanche, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest, France; EA3878, CIC Inserm 0502, IFR 148, département de médecine interne et pneumologie, université européenne de Bretagne, 29609 Brest, France.
authors.forename: F
authors.initials: F
authors.lastname: Couturaud
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*; D012131:Respiratory Insufficiency / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Aspergillus; Atypical mycobacteria; Gastroesophageal reflux; Immunocompetence; Immunocompétence; Lung; Mycobactéries atypiques; Poumon; Reflux gastro-œsophagien