Abstract:
INTRODUCTION:Mycobacterium avium complex can be responsible for a number of different radio-clinical presentations, ranging from invasive infections to hypersensitivity pneumonitis due to repeated inhalation of antigens. The diagnosis of hypersensitivity pneumonitis is clinical, radiological, biological and microbiological. CASE REPORT:A 61-year-old male developed a hypersensitivity pneumonitis reaction to non-tuberculous mycobacteria, following the repeated use of his own spa, which later evolved into chronic respiratory failure. The diagnosis was made via an environmental analysis. Immunosuppressive treatment comprising corticosteroids and methotrexate led to moderate improvement, but may also have been responsible for the development of a M. intracellulare abscess. Despite 12 months of well-conducted antibiotic treatment, the evolution was unfavourable, with a relapse of a M. intracellulare infection three months after the end of treatment, followed by the patient's death. CONCLUSION:Hypersensitivity pneumonitis reaction to non-tuberculous mycobacteria should be considered in patients who have their own spa. In the absence of microbiological identification, environmental analysis may guide the diagnosis. A fatal evolution of PHS is infrequent but prognosis may depend on the degree of associated fibrosis.
journal_name
Rev Mal Respirjournal_title
Revue des maladies respiratoiresauthors
Balavoine C,Lanotte P,Campana M,Ghanem M,Marchand-Adam Sdoi
10.1016/j.rmr.2017.10.670subject
Has Abstractpub_date
2019-01-01 00:00:00pages
57-62issue
1eissn
0761-8425issn
1776-2588pii
S0761-8425(18)30290-0journal_volume
36pub_type
杂志文章abstract::Amongst the elements which contributed to the success of the early lung transplants at the beginning of the 1980's we feel that the careful selection of candidates probably played a predominant role. If some of the selection criteria initially described remain somewhat intangible, others have either been eased or have...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1997-12-01 00:00:00
abstract::No treatment was established for disseminated M. avium intracellulare (MAC) infection, a common disease of end stage of AIDS. An open study was conducted to assess in 173 AIDS patients, the activity of clarithromycin. Initial bacteriologic eradication from blood was observed in 136/147 evaluable patients (93%). Acquir...
journal_title:Revue des maladies respiratoires
pub_type: 临床试验,杂志文章,多中心研究
doi:
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abstract::Despite the progress in therapeutic strategies, overall survival of stage III non small cell lung cancers (NSCLC) is poor. Currently, the standard treatment for unresectable locally advanced NSCLC is concurrent chemoradiotherapy. However, oesophagitis is a major toxicity and this schedule should be reserved for patien...
journal_title:Revue des maladies respiratoires
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,多中心研究
doi:10.1016/j.rmr.2016.05.003
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:This review presents the state of knowledge regarding the acute and chronic toxicity of diesel engine exhaust in humans. STATE OF ART:The health effects of diesel engine exhaust, which is a complex mixture of gas and particulate matter (ultrafine and fine particles), are mainly irritation of the respirato...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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abstract::A schwannoma of the phrenic nerve is a rare disorder which presents as a tumour of the anterior mediastinum. It is seen in adults and is usually latent. We report two cases in elderly subjects in whom the phrenic nerve tumour had achieved a significant size. One of these schwannomas had degenerated into sarcomatous ch...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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更新日期:1998-02-01 00:00:00
abstract::The occurrence is reported of a bronchial epidermoid cancer appearing 13 years after irradiation for an intra-thoracic paraganglioma. Four criteria are required when considering the carcinogenic effects of radiation: a documented history or irradiation, a latent period of 8 to 20 years, histological evidence of the de...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:10.1016/j.rmr.2011.06.003
更新日期:2011-09-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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更新日期:1992-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:10.1016/s0761-8425(04)71247-4
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:10.1016/s0761-8425(07)74263-8
更新日期:2007-11-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1998-06-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:10.1016/s0761-8425(05)85485-3
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journal_title:Revue des maladies respiratoires
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doi:10.1016/j.rmr.2018.08.005
更新日期:2019-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 00:00:00
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pub_type: 杂志文章
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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更新日期:1998-06-01 00:00:00
abstract:INTRODUCTION:Neonatal screening for cystic fibrosis (CF) leads to early dedicated specialist care for all patients. BACKGROUND:Pulmonary function tests (PFT) are mandatory for routine monitoring of CF patients. The aim of this article is to review the current guidelines for PFTs in CF, particularly the type of test, t...
journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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更新日期:2007-06-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章,评审
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更新日期:2015-04-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 历史文章,杂志文章,评审
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更新日期:2016-10-01 00:00:00
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journal_title:Revue des maladies respiratoires
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00