Endobronchial Non-Tuberculosis Mycobacterium Infection Presenting in a Healthy Child

Author:

Kavookjian Hannah1ORCID,Jones Joel W.1,Shah Sweeti2,Escobar Hugo3,Swanson Douglas4,Nicklaus Pamela2

Affiliation:

1. Department of Otolaryngology Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA

2. Department of Otolaryngology, Children’s Mercy Hospital, Kansas City, Missouri, USA

3. Department of Pulmonology, Children’s Mercy Hospital, Kansas City, Missouri, USA

4. Department of Infectious Disease, Children’s Mercy Hospital, Kansas City, Missouri, USA

Abstract

Objectives: To describe a safe and effective treatment for endobronchial Mycobacterium avium complex. Methods: Case report and literature review. Results: We present a case of endobronchial M. avium complex in a healthy child treated with serial carbon-dioxide laser excisions and antibiotic triple therapy using azithromycin, rifampin, and ethambutol. No current guideline for the treatment of these lesions in the pediatric population exists. Conclusions: In patients with airway impingement, serial endoscopic surgical resection combined with antibiotics can provide safe and effective management.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

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