J Korean Med Sci.  2022 Oct;37(40):e292. 10.3346/jkms.2022.37.e292.

Neutrophil-Lymphocyte Ratio and Monocyte-Lymphocyte Ratio According to the Radiologic Severity of Mycobacterium avium Complex Pulmonary Disease

Affiliations
  • 1Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea
  • 2Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 3Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

Abstract

Background
To date, no study has investigated whether the neutrophil-lymphocyte ratio (NLR) and monocyte-lymphocyte ratio (MLR) have a clinical value in Mycobacterium avium complex (MAC)-pulmonary disease (PD).
Methods
We aimed to assess whether the baseline NLR and MLR were different according to the severity of MAC-PD based on the radiologic classification by retrospectively analyzing 549 patients treated in a tertiary referral center in South Korea.
Results
Both NLR and MLR were significantly higher as 3.33 and 0.43 respectively in the fibrocavitary type, followed by 2.34 and 0.27 in the cavitary nodular bronchiectatic type and significantly lower as 1.88 and 0.23 in the non-cavitary nodular bronchiectatic type.
Conclusion
The baseline NLR and MLR showed a distinct difference in accordance with the radiologic severity of MAC-PD.

Keyword

Mycobacterium avium Complex; Complete Blood Count; Neutrophil; Lymphocyte; Monocyte

Figure

  • Fig. 1 Neutrophil-lymphocyte ratio (A) and monocyte-lymphocyte ratio (B) according to the radiologic classification of 549 patients with Mycobacterium avium complex pulmonary disease.FC = fibrocavitary, C-NB = cavitary nodular bronchiectatic, NC-NB = non-cavitary nodular bronchiectatic.


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