TABLE 1.
Clinical characteristics of seven M. intracellulare patients who responded to BDQ and then relapsed
Patient | Age (yr) | Disease typea | Duration of prior treatment (mo) | Companion drugs while on BDQb | Resistance |
AFB smear status |
7H11 agar culture status |
|||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Macrolide | Amikacin | Pretreatment | Lowest on BDQ | Relapse | Pretreatment | Lowest on BDQ | Relapse | |||||
1c | 54 | FN + C | 96 | EMB, RFB, STR | Yes | No | 4+ | Negative | 3+ | 4+ | Negative | 4+ |
2c | 60 | NB | 25 | AZM, EMB, RFB, STR | No | No | 4+ | Negative | 3+ | 4+ | Negative | 4+ |
3 | 68 | FN + C | 48 | AMK, EMB, RFB | Yes | No | 3+ | Negative | 2+ | 4+ | Negative | 2+ |
4 | 71 | NB + C | AMK, AZM, EMB, STR | No | No | 3+ | Negative | 2+ | 4+ | Negative | 3+ | |
5c | 58 | NB | 78 | EMB, RFB, STR | Yes | Yes | 4+ | 2+ | 4+ | 4+ | 3+ | 4+ |
6 | 66 | NB + C | 44 | AMK, EMB, RFB | Yes | Yes | 3+ | Negative | 2+ | 3+ | +d | 3+ |
7 | 64 | FN + C | 20 | CLR, EMB, RFB, STR | No | No | 3+ | Negative | 3+ | 4+ | Negative | 3+ |
FN, fibronodular; NB, nodular bronchiectasis; C, cavitary.
AMK, amikacin; AZM, azithromycin; CLR, clarithromycin; EMB, ethambutol; RFB, rifabutin; STR, streptomycin.
Previously described by Philley et al. (15).
Only 8 CFU were observed.