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Chronic thromboembolic pulmonary hypertension and idiopathic pulmonary hypertension are the conditions predisposing to non-tuberculous mycobacterial lung disease (NTMLD)

Monika Szturmowicz, Ewelina Wilinska, Karina Oniszh, Ewa Augustynowicz-Kopec, Anna Zabost, Marcin Kurzyna, Anna Fijalkowska, Jaroslaw Kober, Joanna Zylkowska, Michal Florczyk, Adam Torbicki
European Respiratory Journal 2011 38: p1522; DOI:
Monika Szturmowicz
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Ewelina Wilinska
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Karina Oniszh
2Department of Radiology, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Ewa Augustynowicz-Kopec
3Department of Microbiology, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Anna Zabost
3Department of Microbiology, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Marcin Kurzyna
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Anna Fijalkowska
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Jaroslaw Kober
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Joanna Zylkowska
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Michal Florczyk
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Adam Torbicki
1Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
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Abstract

Non-tuberculous mycobacterial lung disease (NTMLD) is a rare disorder diagnosed in 0.6-1.8/100,000 people. Nevertheless NTMLD may be observed more frequently (2-6%) in the patients (pts) with predisposing conditions such as chronic lung diseases (COPD, cystic fibrosis), genetic disorders and many others. The aim of the present study was to assess the frequency and clinical features of NTMLD in CTEPH and IPAH pts. 250 patients (150 with CTEPH and 100 with IPAH) diagnosed and treated in the Department of Chest Medicine, National Institute of Tuberculosis and Lung Diseases in the period of 2002-2008 entered the study. NTMLD fulfilling the criteria of ATS 2007, was diagnosed in 9 pts (3.6%): 6 pts with CTEPH (4%) and 3 with IPAH (3%). Majority of patients presented with exacerbation of dyspnea. Chest CT scans revealed areas of infiltration with cavitation, surrounded by small nodules in 4/9 pts, cavities surrounded by small nodules in 4/9 and cavities only in 1 pt. NTMLD-related lung pathology developed in the areas with hypoperfusion, no parenchymal lung pathology was seen on CT scans taken before the disease development. The responsible pathogen was M. kansasii in all of the patients. NTMLD was observed more frequently in CTEPH and IPAH patients with BMI<25, with low cardiac output (CO) and low mixed venous blood saturation (satO2mv).

Conclusion: CTEPH and IPAH are probably the diseases predisposing to NTMLD. The disease develops in the hypoperfused regions of lung parenchyma, in the patients with low CO and satO2mv.

  • © 2011 ERS
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Chronic thromboembolic pulmonary hypertension and idiopathic pulmonary hypertension are the conditions predisposing to non-tuberculous mycobacterial lung disease (NTMLD)
Monika Szturmowicz, Ewelina Wilinska, Karina Oniszh, Ewa Augustynowicz-Kopec, Anna Zabost, Marcin Kurzyna, Anna Fijalkowska, Jaroslaw Kober, Joanna Zylkowska, Michal Florczyk, Adam Torbicki
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1522;

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Chronic thromboembolic pulmonary hypertension and idiopathic pulmonary hypertension are the conditions predisposing to non-tuberculous mycobacterial lung disease (NTMLD)
Monika Szturmowicz, Ewelina Wilinska, Karina Oniszh, Ewa Augustynowicz-Kopec, Anna Zabost, Marcin Kurzyna, Anna Fijalkowska, Jaroslaw Kober, Joanna Zylkowska, Michal Florczyk, Adam Torbicki
European Respiratory Journal Sep 2011, 38 (Suppl 55) p1522;
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Show more 162. Clinical characteristics of patients with pulmonary hypertension

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