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Bronkoskopik Olarak Coil Yerletirilen Blgede Tberkloz D Mikobakteri ve Bronektazi Birliktelii: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2021; 10(2): 109-113 | DOI: 10.5505/respircase.2021.96158

Bronkoskopik Olarak Coil Yerletirilen Blgede Tberkloz D Mikobakteri ve Bronektazi Birliktelii: Olgu Sunumu

Efsun Gonca Uur Chousein, Elif Tanrverdi, Demet Turan, Zeynep Yldrm, Mustafa rtk, Halit narka, Mehmet Akif Ozgul, Erdoan etinkaya
Salk Bilimleri niversitesi Yedikule Gs Hastalklar ve Gs Cerrahisi Eitim ve Aratrma Hastanesi, Gs Hastalklar Blm, stanbul

Dnyada nde gelen lmlere ve yksek kresel salk giderlerine neden olan kronik obstrktif akcier hastal (KOAH), zellikle iddetli amfizem iin yeni tedavilere ihtiya vardr. Bu konuda umut vaat eden tedavilerden biri de hastann radyolojik ve fonksiyonel durumuna gre seilen coil veya valfler ile uygulanan bronkoskopik akcier hacim azaltc tedavilerdir (BAHAT). Yeni bir tedavi olarak kabul edildii iin pnmoni, pnmonitis, pnmotoraks, kanama, solunum yetmezlii ve kalp durmas gibi ilemin erken komplikasyonlar daha iyi bilinirken, ge komplikasyonlar daha az bilinmektedir. Bronkoskopik akcier hacmi azaltc tedavi (BAHAT) olarak coil uygulanan blgede 2 yl sonra yeni gelien bronektatik alanda tberkloz d mikobakteri (Mycobacterium abscessus) remesi saptanan ve tedavi edilen olgu bu komplikasyonun gelitii ilk olgu olarak sunulmutur. Amfizem iin mit verici yeni bir tedavi olarak kullanma giren bronkoskopik akcier hacminin azaltc tedavi; erken dnem komplikasyonlarnn yan sra ge dnem komplikasyonlar asndan da deerlendirilmeli ve takip edilmelidir.

Anahtar Kelimeler: KOAH, bronkoskopik hacim azaltc tedavi, non-tberkloz mikobakteri, bronektazi.

Coexistence of Non-tuberculosis Mycobacterium and Bronchiectasis at the Region of Bronchoscopic Coil Insertion: A Case Report

Efsun Gonca Uur Chousein, Elif Tanrverdi, Demet Turan, Zeynep Yldrm, Mustafa rtk, Halit narka, Mehmet Akif Ozgul, Erdoan etinkaya
Department of Pulmonology, University of Health Sciences Turkey Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, stanbul, Turkey

Novel treatments are needed for chronic obstructive pulmonary disease (COPD), and particularly for severe emphysema, which is one of the leading causes of morbidity and mortality and is responsible for high global health costs. One promising treatment is bronchoscopic lung volume reduction (BLVR), with coils or valves selected according to the patients radiological and functional status. Since being accepted as a new treatment, early complications of BLVR procedures in the form of pneumonia, pneumonitis, pneumothorax, hemorrhage, respiratory failure and cardiac arrest have become better known, while late complications are less known. We discuss here a patient diagnosed with a lower respiratory tract infection due to a non-tuberculous mycobacterium (Mycobacterium abscessus) at a newly developed bronchiectasis site, 2 years after BLVR with a coil, as the first case report of such a complication. Bronchoscopic lung volume reduction is a promising treatment for severe emphysema, although patients should be evaluated for long-term complications aside from those occurring in the early period.

Keywords: COPD, bronchoscopic volume reduction, non-tuberculous mycobacterium, bronchiectasis.

Efsun Gonca Uur Chousein, Elif Tanrverdi, Demet Turan, Zeynep Yldrm, Mustafa rtk, Halit narka, Mehmet Akif Ozgul, Erdoan etinkaya. Coexistence of Non-tuberculosis Mycobacterium and Bronchiectasis at the Region of Bronchoscopic Coil Insertion: A Case Report. Respir Case Rep. 2021; 10(2): 109-113

Sorumlu Yazar: Efsun Gonca Uur Chousein, Trkiye
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