PMC8511890_01
Overview of hemoglobin, albumin and weight (upper figure) and leukocytes, lymphocytes and C-reactive protein (lower figure) during nontuberculous mycobacterial treatment throughout the entire course of disease. Abbreviations: ETH, ethambutol. CLR, clarithromycin. RIF, rifampicin. RIB, rifabutin. CRP, C-reactive protein.
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However, MAC (unnamed subspecies) was subsequently cultured (Fig. 1) and the treatment was changed to a standard MAC regimen with rifampicin, ethambutol and clarithromycin.
High-resolution computed tomography of the lungs of the patient in August 2019. The scan showed continued consolidation of the left upper lobe and endobronchial obstruction of the airways on the left side suggestive of mucus or polyps. In addition, the scan showed increasing consolidation of the left lower lobe, diffusely scattered infiltrates in the left lung and unchanged smaller left-sided pleural effusion.
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Once again, HRCT showed progression in infiltrates (Fig. 2).