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Epid.miology and.Clinical Features of Mycobacterium avium Complex Pulmonary d.sease in a Brazilian Amazon Cohort

Ad.ances in Microbiology 2024年第6期14卷 287-302页

作者： Jose Tad.u Colares Monteiro Ad.iana Rod.igues Barretto Ruan Seguin Azeved. Quaresma Bianca Mirand. Gouveia Ismari Perini Furlaneto Victória Menezes d. costa Yan Corrêa Rod.igues Layana Rufino Ribeiro Ricard. J. d. Paula Souza e Guimarães Alex Brito Souza ana roberta fusco d. costa Karla Valéria Batista Lima Joao d. Barros Barreto University Hospital Federal University of Par Belm Brazil Center for Biological and.Health Sciences Ph.D. Program in Parasitic Biology in the Amazon Region (PPGBPA) State University of Par (UEPA) Belm Brazil d.partment of Med.cine Centro Universitrio do Par CESUPA Belm Brazil Bacteriology and.Mycology Section Evandro Chagas Institute (SABMI/IEC) Ministry of Health Ananindeua Brazil Geoprocessing Laboratory Evandro Chagas Institute/SVSA/MS Ananineua Brazil

The incid.nce of Mycobacterium avium complex pulmonary d.sease (MACPd. has been globally increasing. The present stud. aims to provid. a comprehensive analysis of clinical characteristics and.treatment response among patients in the Amazon region of Brazil and.cond.ct a retrospective cohort stud. at a prominent referral hospital in the State of Par, Brazil, from 2012 to 2020. The M. avium group represented.58.9% of cases, followed.by M. intracellulare (35.7%), M. colombiense (3.6%), and.M. chimaera (1.8%). The majority of patients (73.2%) were female and.with an average age of 63 years. Primary clinical manifestations includ.d.persistent cough and.sputum prod.ction. The Charlson comorbid.ty ind.x (CCI) averaged.2.47, with 36.3% of patients having a CCI score equal to higher than 3. Notably, over 70% of patients had.received.treatment for pulmonary tuberculosis before initiating treatment for MAC infection. The fibrocavitary rad.ologic form was the most prevalent (55.4%), frequently exhibiting a bilateral d.stribution (53.6%). Antimicrobial susceptibility revealed.a significant prevalence of MAC resistance to d.ugs in the therapeutic regimen. d.spite this, most of the patients experienced.clinical improvement (50%). In conclusion, this stud. highlights a higher prevalence of MAC infections among mid.le-aged.women, with a history of pulmonary tuberculosis treatment and.presenting the fibrocavitary rad.ological form was pred.minant.

关键词： MACd. Nontuberculous Mycobacteria Mycobacterium avium Lung d.sease

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