Research Article

Genetic Evolution of Mycobacterium abscessus Conferring Clarithromycin Resistance during Long-Term Antibiotic Therapy

Table 1

Demographic and clinical features of patients in this study.

CharacteristicsPatient 1Patient 2Patient 3

GenderFemaleMaleMale
Age (years)724966
BMI (kg/m2)13.417.221.4
Underlying diseasesHypertension; bronchiectasisTuberculosis; bronchiectasis; drug-induced liver injuryHypertension; bronchiectasis; diabetes mellitus
SymptomsCough; sputumCough; sputum; emaciationCough; sputum; chest tightness; hemoptysis
Radiographic characteristicsBilateral involvement; bronchiectasis, multiple thin wall cavitiesBilateral involvement; bronchiectasis; multiple cavitiesBilateral involvement; bronchiectasis; multiple cavities; pleural effusion
Initial AFB positiveYesYesYes
Antibiotics usedaH, Rft, E, Clr, Imi, Lzd, LfxCfz, Rfb, Au, Pa, Cm, M, ClrH, Rft, E, Clr, Lzd, Ami, Tgc, Lfx
Duration of treatment7 months28 months19 months
Radiological resultNo changeProgressedProgressed
Sputum conversionWithdrawnPersistent positive sputum culture with TB and M. abscessusRelapse after conversion to negative

aH, isoniazid; Rft, rifapentine; E, ethambutol; Clr, clarithromycin; Lzd, linezolid; Imi, imipenem; Lfx, levofloxacin; Ami, amikacin; Tgc, tigecycline; Rfb, rifabutin; Cfz, clofazimine; Pa, dipasic; M, moxifloxacin; Cm, capreomycin; Au, amoxicillin/clavulanate.