Treatment of Mycobacteriosis with Lung Destruction Using Long-Term Endobronchial Valve Implantation
https://doi.org/10.21292/2075-1230-2022-100-1-49-54
Abstract
The article describes a case of effective treatment of fibrous cavernous pulmonary mycobacteriosis with the implantation of the endobronchial valve (valve bronchial block).
Subjects and Methods. A 66-year-old man was diagnosed with fibrous cavernous pulmonary mycobacteriosis. M. chelonae was detected as a causative agent of the disease. At the time of diagnosis, the disease lasted for 12 months, the duration of treatment due to the erroneous diagnosis of tuberculosis made 6.5 months, the drug therapy of mycobacteriosis lasted for 11 months, and after development of the adverse event in the form of constant tinnitus, the patient interrupted the drug therapy. The patient received no drug therapy for 24 months before the implantation of the endobronchial valve.
Result. The cure of mycobacteriosis and cavity healing were achieved after the implantation of the endobronchial valve. The endobronchial valve remained in the bronchus for 22 months. During this period and after the removal of the endobronchial valve, the patient did not take any medications, lived an active life and was managed on an outpatient basis.
About the Authors
O. V. LovachevaRussian Federation
Olga V. Lovacheva - Doctor of Medical Sciences, Professor, Chief Researcher of Department for Differential Diagnostics and Treatment of Tuberculosis and Concurrent Infections
Build. 2, 4, Dostoevskiy St., Moscow, 127473
А. E. Russkikh
Russian Federation
Anastasia E. Russkikh - Researcher of Department of Differential Diagnosis and Treatment of Tuberculosis and Concurrent Infections, Endoscopist
Build. 2, 4, Dostoevskiy St., Moscow, 127473
А. N. Gracheva
Russian Federation
Aleksandra N. Gracheva - Bacteriologist of Microbiological Laboratory
Build. 2, 4, Dostoevskiy St., Moscow, 127473
А. E. Panova
Russian Federation
Anna E. Panova - Candidate of Medical Sciences, Head of Microbiological Research Laboratory
Build. 2, 4, Dostoevskiy St., Moscow, 127473
А. G. Samoylova
Russian Federation
Anastasia G. Samoylova - Doctor of Medical Sciences, Deputy Director for Research
Phone: +7 (495) 681-07-46
Build. 2, 4, Dostoevskiy St., Moscow, 127473
I. А. Vasilyeva
Russian Federation
Irina A. Vasilyeva - Doctor of Medical Sciences, Professor, Director
Phone: +7 (495) 681-11-66
Build. 2, 4, Dostoevskiy St., Moscow, 127473
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Review
For citations:
Lovacheva O.V., Russkikh А.E., Gracheva А.N., Panova А.E., Samoylova А.G., Vasilyeva I.А. Treatment of Mycobacteriosis with Lung Destruction Using Long-Term Endobronchial Valve Implantation. Tuberculosis and Lung Diseases. 2022;100(1):49-54. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-1-49-54