Pulmonary mycobacterium abscessus infection

Pulmonary mycobacterium abscessus infection is a type of pulmonary non tuberculous mycobacterial infection where the causative organism is Mycobacterium abscessus.

Mycobacterium abscessus are Gram-positive, non-motile, acid-fast rods being around 1.0 - 2.5 µm long by 0.5 µm wide.

HRCT

There can be considerable overlap in common CT findings of M. abscessus pulmonary infection and mycobacterium avium intercellulare (MAC).

According to some reports, lobar volume loss, nodule, airspace consolidation, and thin-walled cavities are thought to be more frequently seen in with MAC than M. abscessus 3.

On CT, the most commonly described  findings include branching nodular opacities (i.e., the tree-in-bud pattern) and bronchiectasis,

Cavities may be seen in around 17% of patients 4.

Other less common CT findings include

M. abscessus is resistant to many antibiotics and thus is very difficult to treat. Combination therapy of intravenous amikacin with cefoxitin or imipenem and an oral macrolide have been recommended by the American Thoracic Society (ATS)/Infectious Diseases Society of America (IDSA).

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Article Information

rID: 31654
Synonyms or Alternate Spellings:
  • Mycobacterium abscessus infection in the lungs

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