Outcome and Follow-up
An improvement was noted progressively in her clinical condition, lung function parameters, bronchoscopy findings and radiologic findings.
Clinically the cough decreased drastically, and the exercise tolerance improved.
The FEV1 improved from 0.78L (53% Pred) to 1.39L (75% Pred) whilst FVC improved from 0.81L (47% Pred) to 1.59L (73% Pred).
There was radiological resolution of the left upper lobe collapse with complete and persistent re-inflation of the left upper lobe (Image 1 ).
Unfortunately, despite 1st, 2nd and 3rd line protocol guided anti-microbial treatment, theMycobacterium abscessus was not eradicated.