Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/1257
Título: Cervical abscess in an immunocompetent patient with Mycobacterium malmoense pulmonary disease
Autor: Duarte, JN
Marques, N
Barroso, L
Ramos, I
Sá, R
Sanz, D
Ferreira, A
Saraiva da Cunha, JG
Palavras-chave: Infecção por Micobactéria não Tuberculosa
Doenças do Pulmão
Abcesso
Data: 2011
Editora: Springer
Citação: Oral Maxillofac Surg. 2011 Nov 5. [Epub ahead of print]
Resumo: BACKGROUND: Mycobacterium malmoense is a nontuberculous mycobacteria seen mainly in two age groups and with different clinical presentations. Most patients are male adults presenting clinical symptoms and signs similar to those of pulmonary tuberculosis. The second group is formed by immunocompetent children with localized cervical lymphadenitis. Although cervical adenitis is the main extrapulmonary manifestation of M. malmoense, virtually all cases of cervical disease were documented in children. Disseminated disease is rare and has been reported in patients with severely impaired immunity. CASE REPORT: We report a case of a 47-year-old immunocompetent man with a cervical abscess, in whom we identified a M. malmoense pulmonary disease with multiple cervical, thoracic and abdominal adenopathies. CONCLUSION: Extrapulmonary infection due to M. Malmoense needs to be considered on the differential diagnosis of cervical masses and adenopathies, not only in pediatric patients but also in adults with no impaired immunity. A high index of suspicion for nontuberculous mycobacteria is essential for the diagnosis and prognosis.
Peer review: yes
URI: http://hdl.handle.net/10400.4/1257
Aparece nas colecções:CIR MAXFAC - Artigos
INF - Artigos

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