{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T09:45:12Z","timestamp":1648719912625},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>Presentamos una paciente inmunocompetente cuya enfermedad comenz\u00f3 a los 49 a\u00f1os con tos, seguida de esputo purulento y hemoptoico, por lo que se diagnostic\u00f3 bronquiectasias. Tres a\u00f1os despu\u00e9s, luego de hemoptisis, le practicaron segmentectom\u00eda medial del l\u00f3bulo medio y qued\u00f3 asintom\u00e1tica por meses. Al encontrarse tuberculosis en el informe de patolog\u00eda fue tratada con 4HREZ2R2H2. Cinco a\u00f1os despu\u00e9s su BK fue 2+ recibiendo un nuevo esquema de 4HREZ2R2H2, con lo que no logro negativizar declar\u00e1ndose el fracaso al tratamiento. Al hallar en la genotipificaci\u00f3n de su cultivo Mycobacterium intracellulare, la paciente recibi\u00f3 azitromicina, moxifloxacina y etambutol, hubo mejor\u00eda, pero abandon\u00f3 el tratamiento a los ocho meses; lo reinici\u00f3 18 meses despu\u00e9s, junto con tratamiento para la depresi\u00f3n y el reflujo gastroesof\u00e1gico. Al mes la paciente estuvo asintom\u00e1tica, pero hizo reacci\u00f3n d\u00e9rmica a la moxifloxacina y se la reemplaz\u00f3 por amikacina. Sali\u00f3 de alta y al a\u00f1o estuvo curada, a los 64 a\u00f1os de edad.<\/jats:p>","DOI":"10.17843\/rpmesp.2020.372.4632","type":"journal-article","created":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T02:45:45Z","timestamp":1593830745000},"page":"361-6","source":"Crossref","is-referenced-by-count":1,"title":["Enfermedad pulmonar por Mycobacterium intracellulare en una paciente inmunocompetente: reporte de un caso en el Per\u00fa"],"prefix":"10.17843","volume":"37","author":[{"given":"Roberto Alfonso","family":"Accinelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Camposano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7920","published-online":{"date-parts":[[2020,6,17]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/viewFile\/4632\/3651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/viewFile\/4632\/3651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T02:45:46Z","timestamp":1593830746000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/4632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,17]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,21]]}},"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2020.372.4632","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"value":"1726-4642","type":"electronic"},{"value":"1726-4634","type":"print"}],"subject":[],"published":{"date-parts":[[2020,6,17]]}}}