TY - JOUR
T1 - Disseminated Mycobacterium kansasii Infection With Pulmonary Alveolar Proteinosis in a Patient with Chronic Myelogenous Leukemia
AU - Goldschmidt, Neta
AU - Nusair, Samir
AU - Gural, Alexander
AU - Amir, Gail
AU - Izhar, Uzi
AU - Laxer, Uri
PY - 2003/11
Y1 - 2003/11
N2 - A 64-year-old woman with chronic myelogenous leukemia (CML) was admitted due to prolonged fever and lung infiltrates. An open lung biopsy was required to make the diagnosis of pulmonary alveolar proteinosis (PAP) and infection with Mycobacterium kansasii. She was treated successfully with combined antimycobacterial therapy for 14 months. However, the leukemia progressed and the patient developed recurrent bilateral lung infiltrates. Blood and bronchoalveolar fluid cultures yielded growth of Acinetobacter. She died shortly thereafter due to septic shock. The relationship between M. kansasii infection, PAP, and abnormal host defense in CML is discussed.
AB - A 64-year-old woman with chronic myelogenous leukemia (CML) was admitted due to prolonged fever and lung infiltrates. An open lung biopsy was required to make the diagnosis of pulmonary alveolar proteinosis (PAP) and infection with Mycobacterium kansasii. She was treated successfully with combined antimycobacterial therapy for 14 months. However, the leukemia progressed and the patient developed recurrent bilateral lung infiltrates. Blood and bronchoalveolar fluid cultures yielded growth of Acinetobacter. She died shortly thereafter due to septic shock. The relationship between M. kansasii infection, PAP, and abnormal host defense in CML is discussed.
KW - Chronic myelogenous leukemia
KW - Granulocyte-macrophage colony-stimulating factor
KW - Mycobacterium kansasii
KW - Pulmonary alveolar proteinosis
KW - Surfactant protein-A
UR - http://www.scopus.com/inward/record.url?scp=0242361650&partnerID=8YFLogxK
U2 - 10.1002/ajh.10410
DO - 10.1002/ajh.10410
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C2 - 14587059
AN - SCOPUS:0242361650
SN - 0361-8609
VL - 74
SP - 221
EP - 223
JO - American Journal of Hematology
JF - American Journal of Hematology
IS - 3
ER -