Thin-Section CT Findings of Nontuberculous Mycobacterial Pulmonary Diseases: Comparison Between Mycobacterium avium-intracellulare Complex and Mycobacterium abscessus Infection.
10.3346/jkms.2005.20.5.777
- Author:
Myung Jin CHUNG
1
;
Kyung Soo LEE
;
Won Jung KOH
;
Ju Hyun LEE
;
Tae Sung KIM
;
O Jung KWON
;
Seonwoo KIM
Author Information
1. Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kyungs.lee@samsung.com
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Mycobacteria, Atypical;
Bronchiectasis;
Bronchiolitis;
Tomograph, X-ray Computed;
CT, thinsection;
Mycobacterium avium;
Mycobacterium abscessus;
Tuberculosis
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Anatomy, Cross-Sectional/methods;
Diagnosis, Differential;
Female;
Humans;
Lung Diseases/*microbiology/*radiography;
Male;
Middle Aged;
Mycobacterium Infections, Atypical/microbiology/radiography;
Mycobacterium avium-intracellulare Infection/microbiology/*radiography;
Research Support, Non-U.S. Gov't;
Retrospective Studies;
Tomography, Spiral Computed/*methods;
Tuberculosis, Pulmonary/radiography
- From:Journal of Korean Medical Science
2005;20(5):777-783
- CountryRepublic of Korea
- Language:English
-
Abstract:
We aimed to compare the CT findings of nontuberculous mycobacterial pulmonary diseases caused by Mycobacterium avium-intracellulare complex (MAC) and Mycobacterium abscessus. Two chest radiologists analyzed retrospectively the thin-section CT findings of 51 patients with MAC and 36 with M. abscessus infection in terms of patterns and forms of lung lesions. No significant difference was found between MAC and M. abscessus infection in the presence of small nodules, tree-in-bud pattern, and bronchiectasis. However, lobar volume decrease (p=0.001), nodule (p=0.018), airspace consolidation (p=0.047) and thin-walled cavity (p=0.009) were more frequently observed in MAC infection. The upper lobe cavitary form was more frequent in the MAC (19 of 51 patients, 37%) group than M. abscessus (5 of 36, 14%) (p=0.029), whereas the nodular bronchiectatic form was more frequent in the M. abscessus group ([29 of 36, 81%] vs. [27 of 51, 53%] in MAC) (p=0.012). In conclusion, there is considerable overlap in common CT findings of MAC and M. abscessus pulmonary infection; however, lobar volume loss, nodule, airspace consolidation, and thin-walled cavity are more frequently seen in MAC than M. abscessus infection.
