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作 者:Pu Zeng Xiaofei Zhang Huaxu Wu Lijun Wang Nan Xiao Xiangdong Mu
机构地区:[1]Department of Respiratory and Critical Care Medicine,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China [2]Center for Clinical Epidemiology&Biostatistics,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China [3]Beijing Center for Quality Control&Improvement for Clinical Investigation&Study at Tsinghua Changgung Hospital,Beijing 102218,China [4]Department of Clinical Laboratory,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China
出 处:《Chinese Medical Journal》2023年第15期1864-1866,共3页中华医学杂志(英文版)
摘 要:To the Editor:It is well-known that bronchiectasis with non-tuberculous mycobacterial(NTM)infection,commonly reported in female never-smokers,is termed as Lady Windermere syndrome(LWS).The concept of LWS was first proposed in 1992.[1]Polite and graceful women without previous lung disease might have the habit of voluntary cough suppression,which is responsible for lung infections,especially bronchial dilation in the middle lobe and lingular segment combined with Mycobacterium avium complex(MAC)infection.In clinical practice,we found that bronchiectasis with pulmonary nocardiosis also more frequently occurs in middle-aged and elderly women without history of smoking,and its microbial characteristics,clinical presentations,and radiographic findings are highly analogous to those of LWS.In this research,we retrospectively analyzed data of patients with bronchiectasis with NTM and bronchiectasis complicated with Nocardia infection who were admitted to our hospital in recent years,and studied their similarities and differences in clinical characteristics.
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