초록 열기/닫기 버튼
신이식을 받은 환자에서 NTM 폐질환이나 척추염에 대한 증례 보고가 국내에서는 아직 없었다. 저자들은 신이식을 받고 면역억제제를 복용하고 있는 환자에서 M. intracellulare에 의한 폐질환과 척추염을 진단하여 병합 항균 요법으로 뚜렷한 임상적 호전을 보인 1예를 경험하였기에 보고하는 바이다.
Nontuberculous mycobacteria (NTM) infections in kidney transplant recipients (KTR) are rare. We describe here a 52-year-old female with vertebral osteomyelitis caused by NTM, who received a kidney transplant 5 years earlier. She had been diagnosed with NTM lung disease 1 year prior. NTM therapy was delayed due to esophageal candidiasis. Mycobacterium intracellulare was isolated from sputum and bone tissue. The pattern of drug-susceptibility testing in both specimens was identical. NTM vertebral osteomyelitis due to direct inoculation is rare, and was in this case a disseminated NTM disease. The subjective symptoms resolved after 4 months of NTM treatment. This suggests that early NTM treatment is important for KTRs who have NTM disease during immunosuppressive therapy.
키워드열기/닫기 버튼
Lung disease, Nontuberculous mycobacteria, Kidney transplantation, Osteomyelitis
