A PEER-REVIEWED JOURNAL OF RESEARCH AND CLINICAL MEDICINEISSN 1727-2378 (Print)         ISSN 2713-2994 (Online)
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Challenges in Treating an Elderly Patient with Comorbid Tuberculosis and Nontuberculous Mycobacterial Pulmonary Infection: a Clinical Case

For citation: Degtyareva S. A., Zaitseva A. S., Karpina N. L., Chernousova L. N., Stepanyan I. E., Shmelyov E. I. Challenges in Treating an Elderly Patient with Comorbid Tuberculosis and Nontuberculous Mycobacterial Pulmonary Infection: a Clinical Case. Doctor.Ru. 2017. 10(139): 49–52.
20 October 00:00

Objective of the Paper: To demonstrate challenges in the diagnosis and treatment of an elderly patient with comorbid tuberculosis and nontuberculous mycobacterial (NTM) pulmonary infection, as well as some concomitant diseases.

Key Points: The paper describes the clinical case of an 86-year-old patient with tuberculosis, NTM pulmonary infection, and concomitant diseases, including chronic obstructive pulmonary disease (COPD). In-hospital treatment achieved remission of COPD, but all attempts to treat the NTM pulmonary infection resulted in pronounced cardiotoxic side effects.

Conclusion: This case demonstrates difficulty of diagnosing and treating an elderly patient with comorbid tuberculosis, NTM pulmonary infection, and some concomitant diseases. Antibacterial therapy, administered for continuously active mycobacteriosis with persistent discharge of NTM after tuberculosis had been clinically cured, was discontinued due to life-threatening side effects.

S. A. Degtyareva — Central Tuberculosis Research Institute, Moscow. E-mail: bonita.lana@mail.ru

A. S. Zaitseva — Central Tuberculosis Research Institute, Moscow. E-mail: bonita.lana@mail.ru

N. L. Karpina — Central Tuberculosis Research Institute, Moscow. E-mail: bonita.lana@mail.ru

L. N. Chernousova — Central Tuberculosis Research Institute, Moscow. E-mail: bonita.lana@mail.ru

I. E. Stepanyan — Central Tuberculosis Research Institute, Moscow. E-mail: bonita.lana@mail.ru

E. I. Shmelyov — Central Tuberculosis Research Institute, Moscow. E-mail: eishmelev@mail.ru


Доктор.ру
20 October 00:00
LITERATURE
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