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成功治疗一例婴儿脓肿分枝杆菌复合群肺病
Authors Liu H, Dong F, Liu J, Liu J, Pang Y, Zhao S, Lu J, Li H
Received 17 December 2018
Accepted for publication 10 April 2019
Published 15 May 2019 Volume 2019:12 Pages 1277—1283
DOI https://doi.org/10.2147/IDR.S198461
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 2
Editor who approved publication: Dr Joachim Wink
摘要：脓肿分枝杆菌复合群（MABC）是一种不常见但是越来越多的引起侵袭性肺疾病的重要病原，其诊断和治疗都具有挑战性。MABC 既往报道主要见于有某些医学情况如存在结构性肺疾病和免疫缺陷状态的儿童。本文报告一例婴儿患有脓肿分枝杆菌复合群肺病的少见病例。4 个月女婴，临床表现咳嗽和发热 4 天，肺 CT 表现两肺多发团块和结节，支气管肺泡灌洗液和胃液培养出分枝杆菌，通过基质辅助激光解析／电离飞行时间质谱分析确定为 MABC，并进一步通过 DNA 序列分析鉴定为马赛脓肿分枝杆菌亚型。经过阿奇霉素联合头孢西丁和莫西沙星的长期治疗取得成功。
关键词：非结核分枝杆菌，肺，耐药，阿奇霉素，治疗后果
