People's Health Press
ISSN 2096-2738 CN 11-9370/R

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  • Electronic Journal of Emerging Infectious Diseases ›› 2021, Vol. 6 ›› Issue (4): 348-351.doi: 10.19871/j.cnki.xfcrbzz.2021.04.019

    • Case Report • Previous Articles     Next Articles

    Mycobacterium chelonii disease misdiagnosed as tuberculosis and leprosy misdiagnosed as non tuberculous mycobacterial disease-case analysis

    Yue Wuyang1, Guo Yan2, Li Tongxin1, Yang Song1, Guo Jianqiong2   

    1. 1. Department of Tuberculosis Research Laboratory, Chongqing Public Health Centre, Chongqing 400038, China;
      2. Department of Infection, the First Affiliated Hospital of Army Medical University, Chongqing 400032, China
    • Received:2021-05-31 Online:2021-11-30 Published:2021-12-13

    Abstract: Microscopic examination of acid-fast bacilli (AFB) smears is the main diagnostic technique for diagnosing Tuberculosis (TB) in most countries. However, AFB smear positive will cause misdiagnosis if it is used alone. We retrospective analyzed and summarized the treatment process of Mycobacterial disease of tortoise, which has long been misdiagnosed as tuberculosis and leprosy misdiagnosed as non-tuberculous mycobacterial pulmonary disease (NTM-PD), using the two generation sequencing technology combined with other tests simultaneously. What’s more, timely conduct mycobacterium culture and strain identification to diagnose the disease and change treatment process. Provide help for clinical treatment and avoid missed diagnosis, misdiagnosis and mistreatment.

    Key words: Acid-fast bacilli, Tuberculosis, Non-tuberculous mycobacterial pulmonary disease, Leprosy, Misdiagnosis