Surgical approach to pulmonary nontuberculous mycobacterial infections

The incidence of pulmonary nontuberculous mycobacterial disease is increasing. Despite aggressive medical therapy, a subset of patients will experience treatment failure or suffer disabling or life-threatening symptoms. The use of anatomic lung resection in addition to optimal medical management may...

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Bibliographic Details
Published inClinics in chest medicine Vol. 36; no. 1; p. 117
Main Author Mitchell, John D
Format Journal Article
LanguageEnglish
Published United States 01.03.2015
Subjects
Humans
Lung Diseases - microbiology
Lung Diseases - surgery
Mycobacterium Infections, Nontuberculous - diagnostic imaging
Mycobacterium Infections, Nontuberculous - microbiology
Mycobacterium Infections, Nontuberculous - surgery
Nontuberculous Mycobacteria - isolation & purification
Pneumonectomy - methods
Radiography
Treatment Outcome
Thoracoscopic segmentectomy
VATS lobectomy
Nontuberculous mycobacteria
Bronchiectasis
Thoracoscopic lobectomy
Pneumonectomy
VATS segmentectomy
Lobectomy
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Summary:The incidence of pulmonary nontuberculous mycobacterial disease is increasing. Despite aggressive medical therapy, a subset of patients will experience treatment failure or suffer disabling or life-threatening symptoms. The use of anatomic lung resection in addition to optimal medical management may, in select cases, result in improved clinical outcomes. More data are needed to confirm this approach. For those with nontuberculous mycobacterial infection, treatment in a multidisciplinary setting including surgeons familiar with operative techniques specific to infectious lung disease will improve patient care.
ISSN:1557-8216
DOI:10.1016/j.ccm.2014.11.004