Tuesday, May 31, 2005

Follow up to persistent infiltrate

We had the same considerations listed on comments: he was placed on respiratory isolation, sputum was non-diagnostic so a bronchoscopy was performed. There were no endobronchial lesions. TBBx and BAL were performed in the LUL. Biopsies revealed chronic inflammation. BAL smears were negative but since then he is growing Mycobacterium kansasii from BAL and 1 of the sputum samples.
He lives in a different county from our previous infiltrate / kansasii case.

2 comments - CLICK HERE to read & add your own!:

Jeff H said...

Ok--there seems to be a pandemic of M. kansasii! RUN!

Nice case.

Baleeiro said...

I was worried that the scope could be contaminated but one case had the isolate from 2 sputum samples (no bronch) and the other from a bronch... Could be the lab but they were the only two isolates (so far)>