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The First Korean Case of Nontuberculous Mycobacterial Lung Disease Caused by Mycobacterium abscessus Subspecies bolletii in a Patient with Bronchiectasis

Authors
정병호[정병호]고원중[고원중]김수영[김수영]이남용[이남용]신성재[신성재]Jeon, Kyeongman[Jeon, Kyeongman]허희재[허희재]기창석[기창석]
Issue Date
2014
Publisher
대한결핵및호흡기학회
Keywords
Bronchiectasis; Mycobacterium Infections; Nontuberculous; Nontuberculous Mycobacteria; Sequence Analysis; DNA
Citation
Tuberculosis and Respiratory Diseases, v.76, no.1, pp.30 - 33
Indexed
SCOPUS
KCI
Journal Title
Tuberculosis and Respiratory Diseases
Volume
76
Number
1
Start Page
30
End Page
33
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/55480
ISSN
1738-3536
Abstract
We report the first Korean case of lung diseases caused by Mycobacterium abscessus subsp. bolletii in a previously healthy male, except for a previous history of pulmonary tuberculosis and bronchiectasis. All serial isolates are identified as M. abscessus subsp. bolletii by multi-locus sequence analysis based on the hsp65, rpoB, and 16S rRNA fragments. At the genetic level, the isolate has the erm(41) gene with a T28 sequevar, associated with clarithromycin resistance, and no rrl mutation. The isolate is resistant to clarithromycin. Although the symptoms and radiographic findings have improved after combination of antibiotics, the follow-up sputum cultures are persistently positive.
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