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Mycobacterium avium complex

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https://www.readbyqxmd.com/read/29346118/mycobacterium-avium-complex-pulmonary-disease-new-epidemiology-and-management-concepts
#1
Leah Lande, Jason George, Theodore Plush
PURPOSE OF REVIEW: The prevalence of Mycobacterium avium complex (MAC)-related pulmonary disease has been increasing because of environmental factors, changes in organism virulence, and evolving host susceptibility. Treatment is often complicated by adverse effects, development of drug resistance, and refractory disease, with recurrence rates as high as 25-45%. RECENT FINDINGS: Aerosolization of water, soil, or dusts are the likely sources of MAC-related pulmonary disease in susceptible individuals...
January 15, 2018: Current Opinion in Infectious Diseases
https://www.readbyqxmd.com/read/29325687/clinical-significance-and-epidemiologic-analyses-of-mycobacterium-avium-and-mycobacterium-intracellulare-lung-disease-from-post-marketing-surveillance
#2
Katsuhiro Suzuki, Atsuyuki Kurashima, Kinji Tatsuno, Jun-Ichi Kadota
BACKGROUND: In Japan, nontuberculous mycobacterial lung disease is mostly attributable to Mycobacterium avium complex (MAC), i.e., M. avium or M. intracellulare. However, clinical features of the disease caused by these two pathogens have not been studied sufficiently yet. METHODS: A post-marketing survey of clarithromycin was performed at 130 facilities across Japan. The data on patients with M. avium infection and patients with M. intracellulare infection were selected from this survey for comparison of background variables and clinical features of the two pathogens...
January 2018: Respiratory Investigation
https://www.readbyqxmd.com/read/29310592/characterization-of-non-tuberculous-mycobacterium-from-humans-and-water-in-an-agropastoral-area-in-zambia
#3
Ngula Monde, Musso Munyeme, Adrian Muwonge, John Bwalya Muma, Sydney Malama
BACKGROUND: The non-tuberculous mycobacteria include those mycobacterium species that are not members of the Mycobacterium tuberculosis complex, the causative agent of pulmonary tuberculosis and Mycobacterium leprae. In Zambia, Non-tuberculous Mycobacteria are gaining recognition as pathogens of public health significance. However, there is scanty information on the isolation and speciation of these organisms for better patient management, consequently reducing the burden of these infections...
January 8, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29279791/pulmonary-mycobacterium-avium-intracellulare-complex-infection-in-an-infant-a-silent-and-coincidental-finding
#4
Vishal Naik, Pui-Ying Iroh Tam, William Gershan, Andrew A Colin, Nadir Demirel
An 11-month-old healthy infant girl was noted to have left lower lobe (LLL) opacities on chest X-ray (CXR) after developing desaturations during an elective cochlear implant surgery. Repeat CXR 10 days later revealed hyperexpansion of the left lung and persistent LLL opacity. Chest computerized tomography revealed enlarged mediastinal lymph nodes, left mainstem bronchial obstruction, and nodular opacities. Bronchoscopic biopsy of the endobronchial tissue revealed multiple necrotizing granulomas and grew Mycobacterium avium-intracellulare, Streptococcus viridans, and Actinomyces odontolyticus...
December 1, 2017: Pediatric Allergy, Immunology, and Pulmonology
https://www.readbyqxmd.com/read/29237500/impact-of-chronic-pseudomonas-aeruginosa-infection-on-health-related-quality-of-life-in-mycobacterium-avium-complex-lung-disease
#5
Hirofumi Kamata, Takanori Asakura, Shoji Suzuki, Ho Namkoong, Kazuma Yagi, Yohei Funatsu, Satoshi Okamori, Shunsuke Uno, Yoshifumi Uwamino, Hiroshi Fujiwara, Tomoyasu Nishimura, Makoto Ishii, Tomoko Betsuyaku, Naoki Hasegawa
BACKGROUND: In bronchiectasis patients, chronic Pseudomonas aeruginosa (PA) infection has been associated with worse health-related quality of life (HRQL), but little is known about Mycobacterium avium complex lung disease (MACLD) patients in this context. This study aimed to evaluate HRQL and investigate the impact of chronic PA infection in MACLD patients. METHODS: This cross-sectional study was conducted using the Registry of Prospective Cohort Study including MACLD patients...
December 13, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/29223615/differences-in-drug-susceptibility-pattern-between-mycobacterium-avium-and-mycobacterium-intracellulare-isolated-in-respiratory-specimens
#6
Eun Hye Cho, Hee Jae Huh, Dong Joon Song, Seong Mi Moon, Seung-Heon Lee, So Youn Shin, Chang Ki Kim, Chang-Seok Ki, Won-Jung Koh, Nam Yong Lee
Mycobacterium avium complex (MAC) is the most common etiologic organisms of nontuberculous mycobacteria (NTM) lung disease. In this study, we aimed to retrospectively investigate the differences in drug susceptibility patterns of two major MAC species; Mycobacterium avium and Mycobacterium intracellulare. A total of 1883 major two MAC isolates (1060 M. avium and 823 M. intracellulare) from respiratory specimens were included in this study during the period 2011─2016. The minimum inhibitory concentrations (MICs) were determined by broth microdilution method and MIC50/MIC90 values were derived from MIC distribution...
December 6, 2017: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/29220797/primaquine-hybrids-as-promising-antimycobacterial-and-antimalarial-agents
#7
Kristina Pavić, Ivana Perković, Šárka Pospíšilová, Marta Machado, Diana Fontinha, Miguel Prudêncio, Josef Jampilek, Aidan Coffey, Lorraine Endersen, Hrvoje Rimac, Branka Zorc
Four series of primaquine (PQ) derivatives were screened for antitubercular and antiplasmodial activity: amides 1a-k, ureas 2a-s, semicarbazides 3a-c and bis-ureas 4a-u. Antimycobacterial activity of PQ derivatives against Mycobacterium tuberculosis (MTB), M. avium complex (MAC) and M. avium subsp. paratuberculosis (MAP) were evaluated in vitro and compared with PQ and the standard antitubercular drugs. In general, the PQ derivatives showed higher potency than the parent compound. Most of the compounds of series 1 and 2 showed high activity against MAP, comparable or even higher than the relevant drug ciprofloxacin, and weak or no activity against MTB and MAC...
December 2, 2017: European Journal of Medicinal Chemistry
https://www.readbyqxmd.com/read/29203483/intermittent-antibiotic-therapy-for-recurrent-nodular-bronchiectatic-mycobacterium-avium-complex-lung-disease
#8
Byung Woo Jhun, Seong Mi Moon, Su-Young Kim, Hye Yun Park, Kyeongman Jeon, O Jung Kwon, Hee Jae Huh, Chang-Seok Ki, Nam Yong Lee, Myung Jin Chung, Kyung Soo Lee, Sung Jae Shin, Charles L Daley, Won-Jung Koh
Intermittent, three-times-weekly oral antibiotic therapy is recommended for the initial treatment of non-cavitary nodular bronchiectatic (NB) Mycobacterium avium complex (MAC) lung disease. However, intermittent therapy is not recommended for patients who have been previously treated. We evaluated 53 patients with recurrent non-cavitary NB MAC lung disease who underwent antibiotic treatment for ≥12 months with daily therapy (n = 26) or intermittent therapy (n = 27) between January 2008 and December 2015. Baseline characteristics were comparable between daily therapy and intermittent therapy groups...
December 4, 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/29198678/successful-diagnosis-of-intestinal-mycobacterium-avium-complex-infection-in-a-kidney-transplant-recipient-using-nasogastric-aspirate-culture-a-case-report
#9
J B Parr, A M Lachiewicz, D van Duin, P P Chong
Intestinal Mycobacterium avium complex (MAC) infections are rare and can be challenging to diagnose. We describe a case of intestinal MAC infection in a kidney transplant recipient with 5 months of unexplained weight loss and abdominal pain who developed intestinal obstruction. Esophagoduodenoscopy with biopsies was performed but was nondiagnostic. Intestinal MAC was diagnosed via nasogastric aspirate culture results. The patient's symptoms rapidly improved after initiation of appropriate treatment, but he later died of aspiration pneumonia and candidemia...
December 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29197331/genotyping-and-drug-susceptibility-testing-of-mycobacterial-isolates-from-population-based-tuberculosis-prevalence-survey-in-ghana
#10
Kennedy Kwasi Addo, Samuel Ofori Addo, Gloria Ivy Mensah, Lydia Mosi, Frank Adae Bonsu
BACKGROUND: Mycobacterium tuberculosis complex (MTBC) and Non-tuberculosis Mycobacterium (NTM) infections differ clinically, making rapid identification and drug susceptibility testing (DST) very critical for infection control and drug therapy. This study aims to use World Health Organization (WHO) approved line probe assay (LPA) to differentiate mycobacterial isolates obtained from tuberculosis (TB) prevalence survey in Ghana and to determine their drug resistance patterns. METHODS: A retrospective study was conducted whereby a total of 361 mycobacterial isolates were differentiated and their drug resistance patterns determined using GenoType Mycobacterium Assays: MTBC and CM/AS for differentiating MTBC and NTM as well MTBDRplus and NTM-DR for DST of MTBC and NTM respectively...
December 2, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29196066/cough-due-to-tb-and-other-chronic-infections-chest-guideline-and-expert-panel-report
#11
Stephen K Field, Patricio Escalante, Dina A Fisher, Belinda Ireland, Richard S Irwin
BACKGROUND: Cough is common in pulmonary TB and other chronic respiratory infections. Identifying features that predict whether pulmonary TB is the cause would help target appropriate individuals for rapid and cost-effective screening, potentially limiting disease progression and preventing transmission to others. METHODS: A systematic literature search for individual studies to answer eight key questions (KQs) was conducted according to established Chest Organization methods by using the following databases: MEDLINE via PubMed, Embase, Scopus, and the Cochrane Database of Systematic Reviews from January 1, 1984, to April 2014...
November 28, 2017: Chest
https://www.readbyqxmd.com/read/29188063/high-rates-of-nontuberculous-mycobacteria-isolation-from-patients-with-presumptive-tuberculosis-in-iran
#12
M J Nasiri, H Dabiri, A A I Fooladi, S Amini, G Hamzehloo, M M Feizabadi
Nontuberculous mycobacteria (NTM) can cause disease which can be indistinguishable from tuberculosis (TB), posing a diagnostic and therapeutic challenge, particularly in low- and middle-income settings. We aimed to investigate the mycobacterial agents associated with presumptive clinical pulmonary TB in Iran. A total of 410 mycobacterial isolates, obtained between March 2014 and January 2016, from 7600 clinical samples taken from consecutive cases of presumptive diagnosis of TB were identified. Phenotypic and molecular tests were used to identify the isolated organisms to the species level...
January 2018: New Microbes and New Infections
https://www.readbyqxmd.com/read/29177395/-infection-by-the-mycobacterium-avium-intracellulare-complex-in-patients-with-hiv-aids-in-a-peruvian-hospital-a-series-of-cases
#13
César Ticona-Huaroto, Lilian Astocondor-Salazar, Juan Montenegro-Idrogo, Gustavo Valencia-Mesias, Jaime Soria
There is little information on the presence of the Mycobacterium avium-Intracellulare (MAC) complex in Peru. Five cases of MAC infection are described in patients with HIV/AIDS at the National Hospital Dos de Mayo, Lima - Peru. The patients presented, mainly, persistent fever, chronic diarrhea, consumptive syndrome, pancytopenia and citofagocitosis. In all of them, resistant acid-alcohol bacilli were identified in feces, so they received antituberculous treatment. The culture of feces was negative for Mycobacterium tuberculosis and, later, in all cases MAC was identified using a molecular test (genotype) in the culture of feces...
April 2017: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/29176633/epidemiology-and-predictors-of-ntm-pulmonary-infection-in-taiwan-a-retrospective-five-year-multicenter-study
#14
Hung-Ling Huang, Meng-Hsuan Cheng, Po-Liang Lu, Chin-Chung Shu, Jann-Yuan Wang, Jann-Tay Wang, Inn-Wen Chong, Li-Na Lee
Multicenter, longitudinal studies on nontuberculous mycobacteria (NTM) pulmonary infection (PI) are lacking. This study provides a 5-year epidemiological overview of NTM-PI in Taiwan and investigated its predictors. The clinical relevance of each respiratory NTM isolate in six hospitals between 2008 and 2014 was determined according to current guidelines. Recurrent episodes were judged by serial bacteriological results. New episodes of NTM-PI and pulmonary colonization (PC) occurring since 2010 were analyzed...
November 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29173447/clinical-characteristics-and-treatment-outcomes-of-pleural-effusions-in-patients-with-nontuberculous-mycobacterial-disease
#15
Sojung Park, Kyung-Wook Jo, Sang-Do Lee, Woo Sung Kim, Tae Sun Shim
BACKGROUND: The incidence of nontuberculous mycobacterial (NTM) infection has increased over the last 10 years. However, the clinical characteristics and treatment outcomes of patients with NTM pleuritis have not been well defined. METHODS: Patients with pleural effusion and NTM lung disease diagnosed between 1997 and 2013 were enrolled and their medical records were reviewed retrospectively. The subjects were divided into definite (n = 9, NTM isolated from the pleura or pleural effusion) and possible (n = 5, NTM lung disease with pleural effusion and improvement of effusion after anti-NTM treatment) groups...
December 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29171454/nontuberculous-mycobacteria-in-clinical-samples-with-negative-acid-fast-bacilli
#16
Alejandro Hernandez-Solís, Raúl Cicero-Sabido, Maribel González-Villa, Isaura Isabel Martínez-Rivera, América Del Pilar Mandujano-Martínez, Benita Pilar Torres-Mazadiego, Claudia Elena Wong-Arámbula, Abril Paulina Rodríguez-Maldonado, Lucia Hernández-Rivas, Heleodora González-González, José Ernesto Ramírez-González
BACKGROUND: There is a progressive increase in nontuberculous mycobacteria (NTM) in pulmonary and extrapulmonary infections that might cause confusion with the Mycobacterium tuberculosis complex. To determine the frequency of finding NTM in clinical samples from patients diagnosed with active tuberculosis, with negative acid-alcohol-resistant bacilli (acid-fast bacillus [AFB]) in a third-level specialty hospital's mycobacterial laboratory between January 2013 and December 2014. METHODS: This is a prospective, descriptive study where isolated strains of biological material were studied in Lowenstein-Jensen and BACTEC MGIT 960 cultures...
October 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/29171447/nontuberculous-mycobacteria-in-a-tertiary-hospital-in-portugal-a-clinical-review
#17
Rog Rio Ruas, Isabel Abreu, João Nuak, Angélica Ramos, Teresa Carvalho, Manuela Ribeiro, João Tiago Guimarães, António Sarmento
BACKGROUND: Nontuberculous mycobacteria (NTM) form a heterogeneous group regarding their ability to cause disease. To further understand their clinical relevance, the characteristics of patients who had positive cultures for NTM at a tertiary hospital in Portugal were reviewed. METHODS: Retrospective analysis of patients assessed at the Infectious Diseases (ID) Department of the São João Hospital Center, from January 2007 to December 2014, from whom at least one biological sample was tested culture positive for NTM...
October 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/29171446/do-infections-with-disseminated-mycobacterium-avium-complex-precede-sweet-s-syndrome-a-case-report-and-literature-review
#18
REVIEW
Kenji Hibiya, Kazuya Miyagi, Maki Tamayose, Daijiro Nabeya, Takeshi Kinjo, Syo Takeshima, Nanae Ikemiyagi, Keisuke Yamada, Akane Fujita, Hiroe Hashioka, Wakaki Kami, Morifumi Inamine, Daisuke Shibahara, Hideta Nakamura, Makoto Furugen, Shusaku Haranaga, Futoshi Higa, Masao Tateyama, Jiro Fujita
Sweet's syndrome is reportedly associated with preceding nontuberculous mycobacterial infections (NTMIs). Here, we report on a systemic Mycobacterium intracellulare infection in a patient on corticoid therapy for Sweet's syndrome. Literature searches show that 69.1% of patients with Sweet's syndrome and NTMIs developed this syndrome later than NTMIs and 89.3% of them developed during the clinical course of a rapidly growing mycobacterial infection. The residual cases were associated with slow-growing mycobacteria (14...
October 2017: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/29167222/capsule-endoscopy-in-the-diagnosis-of-disseminated-mycobacterium-avium-complex-infection
#19
Ana Margarida Vaz, Francisco Velasco, Antonio Jesus Cadilla, Horácio Guerreiro
No abstract text is available yet for this article.
November 21, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29164156/disseminated-mycobacterium-avium-intracellulare-complex-infection-presenting-with-disseminated-intravascular-coagulation-in-an-aids-patient
#20
Folusakin Ayoade, James Cotelingam, Andrew Stevenson Joel Chandranesan
Disseminated Mycobacterium avium-intracellulare complex (MAC) infection is one of the relatively common opportunistic infections seen in severely immunocompromised AIDS patients. A constellation of clinical, laboratory, and pathological features involving multiple organ systems are often present in disseminated MAC infection but disseminated intravascular coagulation (DIC) has not been previously described in association with this condition. To our knowledge, this is the first reported case of DIC complicating disseminated MAC infection in an AIDS patient...
October 2017: Journal of Investigative Medicine High Impact Case Reports
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