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2016, Number 1

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Rev Fac Med UNAM 2016; 59 (1)

Lady Windermere Syndrome as a cause of chronic cough. Report of a case

Valdivies YJL, Sánchez ORB, Osés HL
Full text How to cite this article

Language: Spanish
References: 7
Page: 21-24
PDF size: 531.26 Kb.


Key words:

bronchiectasis, Mycobacterium avium-intracellulare complex, Lady Windermere Syndrome, chronic cough.

ABSTRACT

The nontuberculous mycobacteria are rarely recognized today in the world, being increased their prevalence about to departure of their suspicion in chronic illnesses such as inmunocompromised patients and cystic fibrosis. We present a case with diagnosis of syndrome of Lady Windermere about to departure of a square of chronic cough. Computed tomography was performed where bilateral bronchiectasis is observed in the left lingual segment and right upper lobe. In the Bronchoscopy was isolated complex Mycobacterium avium-intracellulare. The lack of suspicion of nontuberculous of chronic cough leads to the delay in the diagnosis and the patient’s clinical deterioration mycobacteria in patient without risk factors, with a square.


REFERENCES

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  2. Arend SM, van Soolingen D, Ottenhoff TH. Diagnosis and treatment of lung infection with nontuberculous mycobacteria. Curr Opin Pulm Med. 2009;15:201-8.

  3. Reich JM, Johnson RE. Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern. The Lady Windermere syndrome. Chest. 1992;101:1605-9.

  4. Wilde O. Lady Windermere’s Fan. Publicado en The Importance of Being Earnest and Other Plays. London: Penguin; 1940. ISBN 0-14-048209-1.

  5. Baran E. Mycobacterium avium complex en paciente inmunocompetente. Neumol Cir Torax. 2012;71(2):170-3.

  6. Hopewell P, Bloom B. Tuberculosis and other mycobacterial diseases. En: Murray J, Nadel J (eds). Textbook of respiratory medicine. 3rd ed. Philadelphia: Saunders; 2000. pp 1090-105.

  7. Field SK, Fisher D, Cowie RL. Mycobacterium avium complex pulmonary disease in patients without HIV infection. Chest. 2004;126:566-81.




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Rev Fac Med UNAM . 2016;59