A case of pulmonary mycobacteriosis due to Mycobacterium intracellulare (author's transl)

An M. intracellulare, rough strain (serotype 7) has been isolated from sputum of a sixty-year old patients. This patient was a political prisoner in Germany between 1942-1945 and had contracted pulmonary tuberculosis with the cavity in the upper lobe of the right lung. A strain of mycobacterium susc...

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Bibliographic Details
Published inPathologie biologie (Paris) Vol. 30; no. 2; p. 102
Main Authors Demoulin, L, Bassleer, J, Boisvert, H, Desmecht, M, Moens, R, Nyabenda, J, Portaels, F, Truffot, C, Viallier, J, Viallier, G
Format Journal Article
LanguageFrench
Published France 01.02.1982
Subjects
Animals
Anti-Bacterial Agents - pharmacology
Chickens
Drug Resistance, Microbial
Guinea Pigs
History of Medicine
Humans
Male
Mice
Middle Aged
Mycobacterium Infections, Nontuberculous - microbiology
Nontuberculous Mycobacteria - drug effects
Nontuberculous Mycobacteria - pathogenicity
Nontuberculous Mycobacteria - physiology
Rabbits
Sputum - microbiology
Tuberculosis, Pulmonary - microbiology
Virulence
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Summary:An M. intracellulare, rough strain (serotype 7) has been isolated from sputum of a sixty-year old patients. This patient was a political prisoner in Germany between 1942-1945 and had contracted pulmonary tuberculosis with the cavity in the upper lobe of the right lung. A strain of mycobacterium susceptible to antituberculous drugs was isolated from his sputum in 1973. Since 1979, the isolation of M. Intracellulare has been accompanied by clinical signs of pulmonary mycobacteriosis, i.e. persistence of the cavity in spite of antituberculous treatments reapparition of cough with sputum, general weakness. Intradermo-reaction with specific sensitin gives a strong positive reaction, contrasting with a weak reaction with PPD tuberculin. As the antibiogram of the strain shows a susceptibility to cotrimoxazole and erythromycin, the patient underwent a therapy with the combination sulfamethaxozale-trimethoprime and erythromycin, for 4 months. At the end of this treatment, he seems to have recovered completely. The radiological aspect of the lungs remains unchanged. Although the source of contamination remains unknown, one thinks on the basis of bibliographica data, that it can be found in human beings, or seldom in animals (a pig, a bird) or in nature (a pond).
ISSN:0369-8114