Increasing Burden of Nontuberculous Mycobacteria in Korea

Kee, Seung‐Jung; Suh, Soon Pal

doi:10.3346/jkms.2017.32.8.1215

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…Several studies have reported the increasing number of annual NTM isolates and the significant clinical relevance [20–22]. In Korea, the incidence of pulmonary NTM disease has doubled in 2015 compared to the number in 2009 [23, 24]. Japan revealed that NTM disease has reached 14.7 cases per 100, 000 people-years [25] .…”

Section: Introductionmentioning

confidence: 99%

Clinical and microbiological characteristics of non-tuberculous mycobacteria diseases in Singapore with a focus on pulmonary disease, 2012-2016

et al. 2019

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Background Information on non-tuberculosis mycobacterial (NTM) diseases remains limited in Singapore and other Southeast Asian countries. This study aimed to delineate epidemiological and clinical features of pulmonary NTM disease. Methods A retrospective review was performed on all NTM isolates identified in Singapore General Hospital from 2012 to 2016 using the 2007 ATS/IDSA diagnostic criteria. Results A total of 2026 NTM isolates from 852 patients were identified. M. abscessus-chelonae group (1010, 49.9%) was the most commonly isolated and implicated in pulmonary NTM disease. Pulmonary cases (352, 76%) had the highest prevalence among patients diagnosed with NTM diseases (465/852, 54.6%) with no gender difference. Male patients were older (68.5 years, P = 0.014) with a higher incidence of chronic obstructive pulmonary disease (COPD) (23.6%, P < 0.001) and recurrent cough with phlegm production (51.6%, P = 0.035). In contrast, more female patients had bronchiectasis (50%, P < 0.001) and haemoptysis (37.6%, P = 0.042). Age and COPD were associated with multiple NTM species isolation per patient. Conclusions M. abscessus-chelonae group was the commonest NTM species isolated in Singapore. Pulmonary NTM infection has the highest frequency with male and female patients associated with a higher incidence of COPD and bronchiectasis respectively. Age and COPD were associated with multiple NTM species isolation per patient.

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Section: Introductionmentioning

confidence: 99%

Clinical and microbiological characteristics of non-tuberculous mycobacteria diseases in Singapore with a focus on pulmonary disease, 2012-2016

et al. 2019

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“…3 4 5 6 Nevertheless, a growing number of studies on serious AEs after acupuncture have been reported, which indicates that physicians and patients should be aware of the varied presentations and level of severity of these AEs. 7 8 9 10 However, infectious AEs after acupuncture have not been studied well after the use of disposable needles was introduced and the popularization of heath knowledge. Moreover, some previous reports of infectious AE have focused on the incidence and diagnosis, 1 4 11 and only few studies have provided insight into the clinical progress and bacteriological characteristics after the diagnosis of infectious AEs.…”

Section: Introductionmentioning

confidence: 99%

Infectious Adverse Events Following Acupuncture: Clinical Progress and Microbiological Etiology

Kim

Lee

et al. 2018

J Korean Med Sci

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BackgroundWe investigated the clinical progress and bacteriological characteristics of infectious adverse events (AEs) following acupuncture and compared patient characteristics between serious and non-serious outcome groups.MethodsA retrospective observational study was conducted in 1,174 patients with infectious complications associated with acupuncture at the emergency department (ED) in a tertiary hospital in Korea between 2010 and 2014. Serious outcome was defined as development of septic shock, admission to intensive care unit (ICU) or attaining permanent morbidity.ResultsForty-eight patients had certain causality and cellulitis, necrotizing fasciitis and osteomyelitis were common in order. Among them, 9 patients (18.8%) were categorized into serious outcome group, and they showed devastating outcomes such as septic shock (n = 2), ICU admission (n = 4), and permanent sequelae (n = 5). The serious group had delayed admission to the ED after acupuncture (30.0 [4.0–55.0] vs. 3.0 [1.0–10.0] days, P = 0.023). Methicillin-sensitive Staphylococcus aureus was the most frequently identified microorganism. The patients in the serious group required longer treatment duration (139.0 [49.0–183.5] vs. 14.0 [7.0–34.0] days, P < 0.001) as well as more operation with local (44.4% vs. 10.3%, P = 0.031) or general anaesthesia (33.3% vs. 2.6%, P = 0.017).ConclusionThe infectious AEs after acupuncture may cause serious outcomes. Patients and primary physicians should be aware of the risk of infectious complications and make efforts to prevent them.

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“…7 The prevalence of NTM infection is increasing in Korea. 8 In this context, the possibility of differences between pulmonary lesion and mediastinal lymph node pathologies should be considered.…”

Section: Discussionmentioning

confidence: 99%

Combination Therapy of Angiotherapy, Radiation Therapy, and Radiofrequency Ablation for Pulmonary Metastasis of Hepatocellular Carcinoma Accompanied by Nontuberculous Mycobacteria

Park

Kim

et al. 2019

J Liver Cancer

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With the advances in hepatocellular carcinoma (HCC) treatment, the lung metastasis of HCC is becoming increasingly important. In treating the lung metastasis of HCC, a multidisciplinary approach can lead to better results than systemic chemotherapy alone. Here, we report on a patient who presented with pulmonary masses, while the HCC was being controlled in the abdominal cavity. The presence of nontuberculous mycobacteria was identified during the diagnosis of the pulmonary masses. The pulmonary metastases of HCC were treated with a combination of angiotherapy, radiation therapy, and radiofrequency ablation. The patient showed a satisfactory progress with this multidisciplinary localized treatment. We report the clinical progress and review the recent literature regarding the treatment of pulmonary metastasis without intrahepatic HCC herein.

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Increasing Burden of Nontuberculous Mycobacteria in Korea

Cited by 9 publications

References 14 publications

Clinical and microbiological characteristics of non-tuberculous mycobacteria diseases in Singapore with a focus on pulmonary disease, 2012-2016

Clinical and microbiological characteristics of non-tuberculous mycobacteria diseases in Singapore with a focus on pulmonary disease, 2012-2016

Infectious Adverse Events Following Acupuncture: Clinical Progress and Microbiological Etiology

Combination Therapy of Angiotherapy, Radiation Therapy, and Radiofrequency Ablation for Pulmonary Metastasis of Hepatocellular Carcinoma Accompanied by Nontuberculous Mycobacteria

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