Case studies to illustrate good practice in the management of non-tuberculous mycobacterial pulmonary disease

Simon Tiberi; Marc C Lipman; Andres Floto

doi:10.1016/j.rmcr.2022.101668

Case studies to illustrate good practice in the management of non-tuberculous mycobacterial pulmonary disease

Respir Med Case Rep. 2022 May 23:38:101668. doi: 10.1016/j.rmcr.2022.101668. eCollection 2022.

Authors

Simon Tiberi^{1

2}, Marc C Lipman^{3

4}, Andres Floto^{5

6}

Affiliations

¹ Division of Infection, Royal London Hospital, Barts Health NHS Trust, London, UK.
² Blizard Institute, Queen Mary University of London, London, UK.
³ Royal Free London NHS Foundation Trust, London, UK.
⁴ UCL-TB and UCL Respiratory, University College London, London, UK.
⁵ Cambridge Centre for Lung Infection, Royal Papworth Hospital, Cambridge, UK.
⁶ Molecular Immunity Unit, University of Cambridge Department of Medicine, Cambridge, UK.

Abstract

Pulmonary disease caused by non-tuberculous mycobacteria (NTM-PD) can be a complex condition for health care providers to manage, and delayed diagnosis and treatment failure are common. Here we present three case studies that illustrate key challenges in the diagnosis and treatment of NTM-PD, and provide guidance on these issues. In addition, we make recommendations on how the overall management of NTM-PD may be improved, through strategies such as physician education to recognise NTM-PD, and the development of multidisciplinary teams and patient-support groups.

Keywords: Atypical mycobacteria; Case studies; Imaging; Non-tuberculous mycobacteria; Respiratory infection.

Publication types

Case Reports