PDF(Pubmed)
Abstract：
The incidence of infections caused by nontuberculous mycobacteria (NTM) is rising around the world, and they are becoming increasingly difficult to treat due to the bacteria being drug-resistant to several antibiotics commonly used in practice. Mycobacterium abscessus complex (MABC) is particularly difficult to treat as it is one of the most antibiotic-resistant species and, therefore, has limited treatment options that are effective at clearing the infection. We present the case of an 81-year-old female who was diagnosed with Mycobacterium abscessus after several hospital admissions in a short period of time for similar complaints, and we will discuss her diagnosis and possible treatment plan. This case explores the challenges that physicians face in diagnosing NTM infections due to them mimicking several other conditions and raises the importance of having a high clinical suspicion.
摘要：
非结核分枝杆菌（NTM）引起的感染发病率在世界范围内呈上升趋势，并且由于细菌对实践中常用的几种抗生素具有抗药性，因此它们变得越来越难以治疗。分枝杆菌脓肿复合体(MABC)是特别困难的治疗，因为它是最耐抗生素的物种之一，因此,有效清除感染的治疗选择有限。我们介绍了一名81岁的女性，她因类似的投诉在短时间内多次入院后被诊断出患有脓肿分枝杆菌，我们会讨论她的诊断和可能的治疗方案.这个案例探讨了医生在诊断NTM感染时面临的挑战，因为他们模仿了其他几种情况，并提出了高度临床怀疑的重要性。
