[Mycobacterium kansasii pulmonary disease after post-transplant thoracic air leak syndrome in a child]

Zhonghua Er Ke Za Zhi. 2024 Nov 15;62(12):1213-1215. doi: 10.3760/cma.j.cn112140-20240409-00251. Online ahead of print.
[Article in Chinese]

Abstract

患儿 女,12岁,因急性髓系白血病(AML)行单倍体异基因造血干细胞移植术,术后193 d因呼吸困难行胸部CT确诊胸腔漏气综合征(TALS),予内科治疗无复发;诊断TALS后69 d复查胸部CT提示右肺上叶厚壁空洞形成,给予伏立康唑联合卡泊芬净治疗无效;诊断TALS后114 d肺泡灌洗液病原学提示堪萨斯分枝杆菌感染,给予乙胺丁醇+异烟肼+莫西沙星+克拉霉素联合治疗。随访至诊断TALS 后225 d,仍需低流量给氧支持,复查胸部CT未见加重。.