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Thorax 2000;55:717-719 ( August )

Case reports

Non-tuberculous mycobacterial lung infection complicated by chronic necrotising pulmonary aspergillosis I Hafeeza, M F Muersb, S A Murphyc, E G V Evansd, R C Bartond, P McWhinneye

a St James's University Hospital, Leeds LS9 7TF, UK, b Leeds General Infirmary, Leeds LS1 3EX, UK, c South Cleveland Hospital, Middlesbrough, Cleveland TS4 3BW, UK, d PHLS Mycology Reference Laboratory, General Infirmary, Leeds LS1 3EX, UK, e Bradford Royal Infirmary, Bradford BD9 6RJ, UK

Correspondence to: Dr I Hafeez email: ihafeez{at}cableinet.co.uk

Received 20 May 1999; Returned to authors 1 July 1999; Revised version received 10 November 1999; Accepted for publication 6 December 1999

We report four cases of pulmonary mycobacterial disease (three due to Mycobacterium malmoense and one to Myco- bacterium avium intracellulare) complicated by the development of chronic necrotising pulmonary aspergillosis. Difficulties with treatment and the potential benefits of steroids are discussed.


Keywords: aspergillosis; chronic necrotising aspergillosis; non-tuberculous mycobacteria; mycosis; corticosteroids

© 2000 by Thorax


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