AN ACID-FAST BACILLUS OBTAINED FROM A PUSTULAR ERUPTION

Abstract Background Mycobacterium (M) talmoniae isolated from a patient with cystic fibrosis was first described in 2017, and cases of M. talmoniae remain exceedingly rare. Case presentation A 51-year-old woman had respiratory symptoms for 10 years. Diffuse panbronchiolitis (DPB) was detected at the first visit at our hospital. A cavity lesion in the apex of the left lung was found, and sputum and bronchoalveolar lavage fluid were acid-fast bacillus (AFB) smear- and culture-positive besides Pseudomonas aeruginosa. M. talmoniae was finally identified, and the standard combination therapy for non-tuberculous mycobacteria (NTM) was administered for 2 y referring to the drug-susceptibility test. Thereafter, the AFB culture was negative, the wall thickness of the lung cavity was ameliorated, and oxygen saturation improved. Conclusions We encountered a rare case of M. talmoniae with DPB, for which standard combination therapy was effective. M. talmoniae may be considered a potential pathogen of lung disease, especially in patients with bronchiectatic lesions.

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Case Report: A Great Mimicker of Neoplasm: Pulmonary Cryptococcosis in an Immunocompetent Host After High-Altitude Descent

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.21-0238 ◽

2021 ◽

Author(s):

Keely Johnson ◽

Umaima Dhamrah ◽

Aisha Amin ◽

Joseph Masci

Keyword(s):

New York ◽

High Altitude ◽

Acid Fast Bacillus ◽

Chest Imaging ◽

Immunocompetent Host ◽

Pleuritic Chest Pain ◽

Pulmonary Cryptococcosis ◽

Radiological Findings ◽

Travel History ◽

Fluconazole Therapy

Cryptococcus exposure in certain global regions is common and yet virulence in the immunocompetent host remains rare. Radiological findings of pulmonary cryptococcosis may include nonspecific lung nodules or masses indistinguishable from lung cancer or pulmonary tuberculosis. We present a case of an immunocompetent diabetic female who presented with progressively worsening pleuritic chest pain and cough with travel between Tibet and New York 2 months earlier. Chest imaging demonstrated a large lobulated mass, acid-fast bacillus smears were negative, and our patient underwent pulmonary biopsy, which grew rare budding yeast later confirmed by mucicarmine staining as Cryptococcus. Our patient was successfully treated with fluconazole therapy. We hypothesize that the high altitude of Tibet may allow for clinical latency followed by symptomatic reactivation on descent. A raised index of suspicion for pulmonary cryptococcosis with careful attention to travel history is expected to facilitate timely diagnosis.

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AUSTRALIAN DERMATOPATHOLOGY SOCIETY WIDESPREAD PUSTULAR ERUPTION

Australasian Journal of Dermatology ◽

10.1111/j.1440-0960.1993.tb00883.x ◽

1993 ◽

Vol 34 (3) ◽

pp. 128-130 ◽

Cited By ~ 1

Author(s):

T.J. O'Brien ◽

G.H. Mason ◽

A.P. Dorevitch

Keyword(s):

Pustular Eruption

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Papular and Pustular Eruption on the Face with Scarring

100 CASES in Dermatology ◽

10.1201/b13487-67 ◽

2011 ◽

pp. 151-152

Author(s):

Rachael Morris-Jones ◽

Ann-Marie Powell ◽

Emma Benton

Keyword(s):

Pustular Eruption ◽

The Face

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Is It Cost Effective to Obtain Fungal and Acid-Fast Bacillus Cultures during Spine Debridement?

Asian Spine Journal ◽

10.31616/asj.2021.0169 ◽

2021 ◽

Author(s):

Mark J. Lambrechts ◽

Devin D. St. Clair ◽

Jinpu Li ◽

James L. Cook ◽

Bradley S. Spence ◽

...

Keyword(s):

Cost Effective ◽

Acid Fast Bacillus

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Folliculitis Decalvans and Pyoderma Gangrenosum

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v7i0.21087 ◽

2005 ◽

Vol 7 ◽

pp. 64-67

Author(s):

Sudarshan L Rajbhandari ◽

SP Jagat

Keyword(s):

Pyoderma Gangrenosum ◽

Pustular Eruption ◽

Folliculitis Decalvans

Folliculitis decalvans is a rare chronic progressive follicular pustular eruption that results in cicatricial alopecia of scalp and other areas.

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KNOWLEDGE, ATTITUDE, AND PRACTICE OF COUGH ETIQUETTE IN PATIENTS WITH TUBERCULOSIS IN THE COMMUNITY HEALTH CENTERS

Belitung Nursing Journal ◽

10.33546/bnj.509 ◽

2018 ◽

Vol 4 (5) ◽

pp. 482-491

Author(s):

Desy Indra Yani ◽

Yayat Fajar Hidayat ◽

Afif Amir Amrullah

Keyword(s):

Community Health ◽

Community Health Centers ◽

Acid Fast Bacillus ◽

Mean Value ◽

Health Care Facilities ◽

Health Centers ◽

Cross Sectional ◽

Attitude And Practice ◽

Droplet Nuclei ◽

Knowledge Attitude And Practice

Background: Tuberculosis is the major global health problem. A high number of tuberculosis cases are as a result of the disease spreads through droplet nuclei which mainly through a cough. Transmission prevention of tuberculosis is important to lower the rate of new infection. Since the transmission is through a cough, therefore, one of the preventive behaviors is by implementing the good and right cough etiquette. Objectives: The aim of this study was to find out the overview of knowledge, attitude and practice of cough etiquette in patients with tuberculosis. Methods: This study was descriptive quantitative with the cross-sectional approach. The population were all patients with Acid-Fast Bacillus (AFB) and tuberculosis registered in Community Health Centers of Rancaekek, Linggar and Nanjung Mekar in Bandung, Indonesia. A total sampling was used with a total number of 52 patients. Data on knowledge, attitude, and practice were measured via validated questionnaires and observation sheets. Frequency distribution, mean and median were used for data analysis. Results: Of the total respondents, 65.4% of the respondents had good knowledge about cough etiquette (median value 83.33 and IQR 20), 50.9% had negative cough etiquette attitude (mean value 47.87 and SD 5.885), and 63.5% had bad practice in cough etiquette (median value 5 and IQR 2). Conclusions: The result of this study is expected to be an input for primary health care facilities in doing improvement in delivering health education to patients with tuberculosis and their families about the good and right cough etiquette, which focus on the affective and psychomotor aspects to prevent the spread of tuberculosis and decrease its infection. This article has been corrected. A separate erratum can be seen at https://doi.org/10.33546/bnj.1153

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