Do you favor timely bronchoscopy for diagnostics over close surveillance in mildly symptomatic patients with CT findings suspicious for NTM infection who are not able to expectorate?
Answer from: at Academic Institution
Yes, I do favor FOB to obtain BAL in symptomatic patients with suspected NTM.
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Answer from: at Community Practice
Good comments. I think you would also need to clarify what "mildly symptomatic" means. If they have a dry cough, is that sufficient to label them? Imaging would have to be, correspondingly, a nodular/bronchiectacic pattern to fall into the mild category, not cavitary.
In that case, initiation of ai...
Answer from: at Community Practice
I agree with Dr. @Saad. If the patient otherwise meets criteria for treatment (CT scan consistent with disease and symptoms of infection) then the most definitive way to determine if the patient has NTM disease is bronchoscopy/BAL.
However, for patients who are ambivalent about treatment or broncho...
Comments
at Northern Virginia Pulmonary And Critical Care Associates Pc
Should do bronchoscopy if you would start treatmen...
Should do bronchoscopy if you would start treatmen...
at Sutter Medical Center Sacramento
I agree with Dr. @Bloom.
I agree with Dr. @Bloom.