Mycobacterium abscessus diagnostic criteria: Difference between revisions
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==Overview== | ==Overview== | ||
==Diagnostic Criteria for Pulmonary Mycobacterium Abscessus== | |||
The diagnosis of pulmoanry mycobacterium abscessus infection requires the presence of clinical and microbiological criteria.<ref name="pmid17277290">{{cite journal| author=Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F et al.| title=An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. | journal=Am J Respir Crit Care Med | year= 2007 | volume= 175 | issue= 4 | pages= 367-416 | pmid=17277290 | doi=10.1164/rccm.200604-571ST | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17277290 }} </ref> | |||
===Clinical Diagnostic Criteria=== | |||
* Pulmonary symptoms, ''OR'' | |||
* Cavitation or nodular opacities on [[chest X-ray]], ''OR'' | |||
* Multifocal [[bronchiectasis]] with multiple small nodules on HRCT scan | |||
''AND'' | |||
* Other diagnoses, such as [[tuberculosis]], are ruled out<ref name="pmid17277290">{{cite journal| author=Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F et al.| title=An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. | journal=Am J Respir Crit Care Med | year= 2007 | volume= 175 | issue= 4 | pages= 367-416 | pmid=17277290 | doi=10.1164/rccm.200604-571ST | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17277290 }} </ref> | |||
===Microbiological Diagnostic Criteria=== | |||
* Positive culture from ≥2 different expectorated sputum samples | |||
''OR'' | |||
* Positive culture from ≥1 bronchial wash or bronchial lavage | |||
''OR'' | |||
* Histopathologic features of mycobacterial infection in transbronchial or lung biopsy ''AND'' positive culture for mycobacterium abscessus | |||
''OR'' | |||
* Histopathologic features of mycobacterial infection in transbronchial or lung biopsy ''AND'' positive culture of ≥1 expectorated sputum or bronchial wash samples<ref name="pmid17277290">{{cite journal| author=Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F et al.| title=An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. | journal=Am J Respir Crit Care Med | year= 2007 | volume= 175 | issue= 4 | pages= 367-416 | pmid=17277290 | doi=10.1164/rccm.200604-571ST | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17277290 }} </ref> | |||
==References== | ==References== | ||
Revision as of 19:09, 23 July 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Diagnostic Criteria for Pulmonary Mycobacterium Abscessus
The diagnosis of pulmoanry mycobacterium abscessus infection requires the presence of clinical and microbiological criteria.[1]
Clinical Diagnostic Criteria
- Pulmonary symptoms, OR
- Cavitation or nodular opacities on chest X-ray, OR
- Multifocal bronchiectasis with multiple small nodules on HRCT scan
AND
- Other diagnoses, such as tuberculosis, are ruled out[1]
Microbiological Diagnostic Criteria
- Positive culture from ≥2 different expectorated sputum samples
OR
- Positive culture from ≥1 bronchial wash or bronchial lavage
OR
- Histopathologic features of mycobacterial infection in transbronchial or lung biopsy AND positive culture for mycobacterium abscessus
OR
- Histopathologic features of mycobacterial infection in transbronchial or lung biopsy AND positive culture of ≥1 expectorated sputum or bronchial wash samples[1]
References
- ↑ 1.0 1.1 1.2 Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F; et al. (2007). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". Am J Respir Crit Care Med. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. PMID 17277290.