A 61-year-old man was admitted to the hospital because of increasingexertional dyspnea.
The patient had been in excellent health until three monthsearlier, when he began to experience mild exertional dyspnea,with an occasional cough productive of clear sputum. Radiographicstudies of the chest performed on two occasions showed abnormalities,and different antibiotics were administered on each occasionwithout improvement. The dyspnea worsened, and anorexia developed,with a weight loss of 7 kg. Three weeks before admission, pulmonary-functionstudies were performed at another hospital (Table 1). The patientwas referred to this hospital.
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Griffith, D. E., Aksamit, T., Brown-Elliott, B. A., Catanzaro, A., Daley, C., Gordin, F., Holland, S. M., Horsburgh, R., Huitt, G., Iademarco, M. F., Iseman, M., Olivier, K., Ruoss, S., von Reyn, C. F., Wallace, R. J. Jr., Winthrop, K., on behalf of the ATS Mycobacterial Diseases Subcom,
(2007). An Official ATS/IDSA Statement: Diagnosis, Treatment, and Prevention of Nontuberculous Mycobacterial Diseases. Am. J. Respir. Crit. Care Med.
175: 367-416
[Full Text]
Field, S. K., Cowie, R. L.
(2006). Lung Disease Due to the More Common Nontuberculous Mycobacteria. Chest
129: 1653-1672
[Abstract][Full Text]
Systrom, D. M., Wittram, C.
(2005). Case 9-2005 - A 67-Year-Old Man with Acute Respiratory Failure. NEJM
352: 1238-1246
[Full Text]
Marras, T. K., Wallace, R. J. Jr, Koth, L. L., Stulbarg, M. S., Cowl, C. T., Daley, C. L.
(2005). Hypersensitivity Pneumonitis Reaction to Mycobacterium avium in Household Water. Chest
127: 664-671
[Abstract][Full Text]
Newman, L. S., Rose, C. S., Bresnitz, E. A., Rossman, M. D., Barnard, J., Frederick, M., Terrin, M. L., Weinberger, S. E., Moller, D. R., McLennan, G., Hunninghake, G., DePalo, L., Baughman, R. P., Iannuzzi, M. C., Judson, M. A., Knatterud, G. L., Thompson, B. W., Teirstein, A. S., Yeager, H. Jr., Johns, C. J., Rabin, D. L., Rybicki, B. A., Cherniack, R., the ACCESS Research Group,
(2004). A Case Control Etiologic Study of Sarcoidosis: Environmental and Occupational Risk Factors. Am. J. Respir. Crit. Care Med.
170: 1324-1330
[Abstract][Full Text]
Field, S. K., Fisher, D., Cowie, R. L.
(2004). Mycobacterium avium complex Pulmonary Disease in Patients Without HIV Infection. Chest
126: 566-581
[Abstract][Full Text]