结核与肺部疾病杂志 ›› 2021, Vol. 2 ›› Issue (2): 184-188.doi: 10.3969/j.issn.2096-8493.2021.02.017

• 综述 • 上一篇    下一篇

儿童非结核分枝杆菌病研究进展

郭倩, 申晨()   

  1. 100045 国家儿童医学中心 首都医科大学附属北京儿童医院 北京市儿科研究所呼吸疾病研究室
  • 收稿日期:2021-05-09 出版日期:2021-06-30 发布日期:2021-07-01
  • 通信作者: 申晨 E-mail:shenchen1110@126.com
  • 基金资助:
    北京市自然科学基金(7202043)

The progress of non-tuberculous mycobacterium disease in children

GUO Qian, SHEN Chen()   

  1. Beijing Key Laboratory of Pediatric Respiratory Infection Diseases, Beijing Pediatric Research Institute, Respiratory Disease Laboratory of Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China
  • Received:2021-05-09 Online:2021-06-30 Published:2021-07-01
  • Contact: SHEN Chen E-mail:shenchen1110@126.com

摘要:

非结核分枝杆菌(non-tuberculous mycobacteria,NTM)是分枝杆菌属内除结核分枝杆菌复合群(Mycobacterium tuberculosis complex,MTBC)和麻风分枝杆菌以外的其他分枝杆菌。NTM种类繁多,不同菌种对药物的敏感性和耐药性差异较大,临床和病理表现多不典型,常导致儿童NTM病误诊和漏诊。为进一步加深对儿童NTM病的认识,提高临床诊治水平,笔者结合近年来国内外儿童NTM病的文献和研究成果,从NTM分类、流行病学特征、致病机制、诊断和治疗等方面展开综述。

关键词: 分枝杆菌感染,非典型性, 儿童, 诊断,鉴别, 治疗结果, 综述文献(主题)

Abstract:

Non-tuberculous mycobacteria (NTM) belong to Mycobacterium except for Mycobacterium tuberculosis complex (MTBC) and Mycobacterium leprae. Owing to the various kinds of NTMs and the varied drug sensitivity and resistance, clinical and pathological manifestations are atypical, which often lead to misdiagnosis and missed diagnosis of NTM disease in children. To have a comprehensive understanding of NTM disease and to improve the clinical diagnosis and treatment, this article reviews the NTM in classification, epidemiological characteristics, pathogenic mechanism, diagnosis and treatment based on the recent research.

Key words: Mycobacterium infections, atypical, Children, Diagnosis, differential, Treatment outcome, Review literature as topic