Mycolicibacterium wolinskyi pulmonary disease:a case report and literature review
10.3969/j.issn.1002-2694.2025.00.059
- VernacularTitle:沃林斯基分枝菌酸杆形菌肺病一例并文献复习
- Author:
Jun-ke MA
1
;
Jun-wei CUI
;
Shi-yan WANG
;
Jing ZHANG
;
Yong-liang WANG
;
Hong-fei DUAN
Author Information
1. 新乡医学院第一附属医院结核内科一病区,新乡 453000
- Publication Type:Journal Article
- Keywords:
Mycolicibacterium wolinskyi;
non-tuberculous mycobacteria;
pulmonary disease;
less common non-tuberculous my-cobacterial disease
- From:
Chinese Journal of Zoonoses
2025;41(4):403-412
- CountryChina
- Language:Chinese
-
Abstract:
We reported the clinical manifestations,radiographic characteristics and prognosis of 1 case with Mycolicibacterium wolinskyi pulmonary disease,and provided a comprehensive literature review on this disease.Using"M.wolinskyi"OR"Mycobacterium wolinskyi"OR"Mycolicibacterium wolinskyi"as search term in PubMed database,CNKI and Wanfang database up to August 26 2023,40 reports were retrieved.32 cases from the literature and 1 case of our institution were used for review.A 59-year-old female presented intermittent hemoptysis since 2015.She was diagnosed with tuberculosis and clinical symptoms continued after anti-tuberculosis treatment.After multiple cultures of mycobacterium sputum and species identification in our hospital,M.wolinskyi was finally identified.She was diagnosed with M.Wolinski pulmonary disease according to clinical symptoms,computed tomography findings as well as bacteriological examinations.Combination therapy with Azithromycin,Moxifloxacin hydrochloride and Amikacin were administered based on antimicrobial susceptibility testing.Mycobacterium sputum culture became negative after 1 month treatment and kept negative,and the patient continued this combination therapy for 12 months after first culture negative.M.wolinskyi disease is exceedingly rare in medical institutions,and clinical symptoms are different depending on different location.Most cases were infected with skin,soft tissue or bone tissue infection after trauma or surgery,and a few cases were bloodstream infection.Most patients could have a good prognosis after proper treatment.M.wolinskyi disease is rare and clinically atypical,which may lead to long-term misdiagnosis.With the increase of aged or immunosuppressed population,the diagnosis and treatment of these rare non-tuberculous mycobacterial infections deserve more attention.
