Disseminated Mycobacterium kansasii infection associated with pancytopenia was diagnosed in a 40-year-old man found to have granulomata in kidney and liver biopsy specimens. The M. kansasii was isolated from the urine and tissue obtained by renal biopsy. Serial renal biopsies and renal tissue obtained at autopsy showed severe interstitial fibrosis which was thought to represent a tissue response to the M. kansasii infection. The periportal and parenchymal fibrosis found in the liver at autopsy were consistent with a similar response in the liver. ...
TY - JOUR. T1 - Implication of Vitamin D-associated factors in patients with nontuberculous mycobacterial lung disease. AU - Kim, S. Y.. AU - Chang, B.. AU - Jeong, B. H.. AU - Park, H. Y.. AU - Jeon, K.. AU - Shin, S. J.. AU - Koh, W. J.. N1 - Publisher Copyright: © 2016 The Union.. PY - 2016/12/1. Y1 - 2016/12/1. N2 - BACKGROUND: Little information is available regarding Vitamin D-associated factors in patients with nontuberculous mycobacteria (NTM) lung disease. O B JE C T IVE : To determine the association between Vitamin D-related factors and susceptibility to NTM lung disease. DESIGN: The relative gene expression levels of cathelicidin (CAMP), defensin (DEFB4), Vitamin D receptor (VDR) and 1a-hydroxylase (CYP27B1), as well as the serum levels of 25-hydroxyVitamin D (25[OH]D), cathelicidin (LL-37), defensin (hBD-2) and Vitamin Dbinding protein (DBP) from 82 patients with NTM lung disease and 28 control subjects were analysed. RESULT S : Gene expression of CAMP and DEFB4 was significantly ...
Nontuberculous mycobacteria (NTM) are ubiquitous environmental organisms. NTM lung disease is increasing, however, genetic susceptibility of patients with the disease have not been identified. To elucidate the genetic susceptibility of NTM lung disease, the investigators perform a genome-wide association study (GWAS) including patients with NTM lung disease and healthy controls (case : control = 1 : 3). The age-, sex-matched control group will be recruited from the Korean Healthy Twin Study ...
Previous studies found Hawaiians and Asian-Americans/Pacific Islanders to be independently at increased risk for nontuberculous mycobacterial pulmonary disease (NTMPD) and tuberculosis (TB). To better understand NTM infection and TB risk patterns in Hawaii, USA, we evaluated data on a cohort of patients in Hawaii for 2005-2013. Period prevalence of NTMPD was highest among Japanese, Chinese, and Vietnamese patients (>300/100,000 persons) and lowest among Native Hawaiians and Other Pacific Islanders (50/100,000). Japanese patients were twice as likely as all other racial/ethnic groups to have Mycobacterium abscessus isolated (adjusted odds ratio 2.0, 95% CI 1.2-3.2) but were not at increased risk for infection with other mycobacteria species. In contrast, incidence of TB was stable and was lowest among Japanese patients (no cases) and highest among Filipino, Korean, and Vietnamese patients (>50/100,000). Substantial differences exist in the epidemiology of NTMPD by race/ethnicity,
PURPOSE: Non-tuberculous mycobacterial (NTM) infection is an important cause of cervico-facial lymph node enlargement in young children. The optimal treatment is thought to be early complete excision without chemotherapy. We compared management of patients referred to our centre to this gold standard and determined clinical outcomes by type of primary surgical intervention (complete excision vs. incomplete excision). METHODS: Retrospective study of management and clinical outcomes of all children (|12 years) with NTM lymphadenitis referred to a single UK centre between May 1998 and May 2008. RESULTS: We identified 43 children. Median time from onset of swelling to operation was 6 weeks. Management was: no operation (n = 1, 2 %), complete excision (n = 20, 47 %), incision and drainage (n = 17, 40 %) and fine needle aspirate (n = 5, 12 %). Children not treated by primary complete excision were more likely to have: re-operation (91 vs. 30 %; χ(2) = 16.48; p | 0.0001); persistent lymphadenitis (77 vs. 30
Looking for online definition of atypical mycobacterial tuberculosis in the Medical Dictionary? atypical mycobacterial tuberculosis explanation free. What is atypical mycobacterial tuberculosis? Meaning of atypical mycobacterial tuberculosis medical term. What does atypical mycobacterial tuberculosis mean?
Insmed announced that the Food and Drug Administration (FDA)s Antimicrobial Drugs Advisory Committee voted in favor (12-2) for the safety and efficacy of ALIS (amikacin liposome inhalation suspension) for adults with nontuberculous mycobacterial (NTM) lung disease caused by Mycobacterium avium complex (MAC) who have limited or no treatment options.
NIH Rare Diseases : 50 mycobacterium fortuitum is a bacteria that can cause infections of many areas of the body including the skin, lymph nodes, and joints. it belongs to a group of bacteria, known as nontuberculous mycobacterium, as it is different from the mycobacterium that causes tuberculosis. it can be found in natural and processed water, sewage, and dirt. healthy people usually do not get mycobacterium fortuitum infections; however, they may occur after surgery, in people with an impaired immune system, or after exposure to a contaminated medical device (such as an endoscope). it is uncommon for this condition to cause lung disease, but mycobacterium fortuitum infection can lead to skin disease, osteomyelitis (inflammation of the bone), joint infections, and eye disease. the signs and symptoms of infection differ depending on the infection site. treatment also depends on the site of the infection, but usually includes prolonged use of antibiotics. last updated: 2/22/2017 ...
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Patients receiving anti-tumor necrosis factor-α (anti-TNF-α) therapy are at increased risk for tuberculosis and other granulomatous diseases, but little is known about illness caused by nontuberculous mycobacteria (NTM) in this setting. We reviewed the US Food and Drug Administration MedWatch database for reports of NTM disease in patients receiving anti-TNF-α therapy. Of 239 reports collected, 105 (44%) met NTM disease criteria. Median age was 62 years; the majority of patients (66, 65%) were female, and most (73, 70%) had rheumatoid arthritis. NTM infections were associated with infliximab (n = 73), etanercept (n = 25), and adalimumab (n = 7); most patients were taking prednisone (n = 68, 65%) or methotrexate (n = 58, 55%) concurrently. Mycobacteria avium (n = 52, 50%) was most commonly implicated, and 9 patients (9%) had died at the time their infections were reported. A high rate of extrapulmonary manifestations (n = 46, 44%) was also reported.
Nontuberculous mycobacteria are bacteria that are in the same family as tuberculosis and are commonly found in the soil and water. These bacteria can be found in the lungs of people with cystic fibrosis and can cause their lung function to worsen. Although there are guidelines on which antibiotics to use to treat lung infection due to these bacteria, these recommendations are not specific for people with cystic fibrosis. It is also not clear which are the most effective antibiotics. The main purpose of this review was to determine whether treatment with different antibiotic combinations for nontuberculous mycobacterial infection would improve lung function or decrease the frequency of chest infections in people with cystic fibrosis. We found one randomized controlled trial but it included both people with and without cystic fibrosis and we could not get the information specifically about individuals with cystic fibrosis so could not include the information in this review. Until the time when ...
Researchers first described Mycobacterium xenopi in 1959 after isolating it from skin lesions of the South African toad Xenopus laevis. M xenopi, a slow-growing, nontuberculous mycobacterium, is often considered to be a saprophyte or an environmental contaminant.
Successful treatment of refractory cutaneous infection caused by Mycobacterium marinum with a combined regimen containing amikacin Yingxue Huang,* Xiulian Xu,* Yi Liu, Kan Wu, Wei Zhang, Pai Liu, Xuesi Zeng, Jianfang Sun, Yiqun Jiang, Hongsheng WangKey Laboratory of Molecular Biology for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China *These authors contributed equally to this workBackground: The incidence of Mycobacterium marinum infection has been increasing. First-line antituberculous drugs and other common antibiotics are effective for most cutaneous M. marinum infections; however, treatment failure still occurs in some rare cases. We report a case of a 70-year-old man with refractory cutaneous infection caused by M. marinum. Reasons for delayed diagnosis and related factors of the refractory infection are also discussed.Methods: Samples of lesional skin were inoculated on Löwenstein–Jensen medium for acid-fast
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The study, led by the University of Cambridge and the Wellcome Trust Sanger Institute, also suggests that conventional cleaning will not be sufficient to eliminate the pathogen, which can be transmitted through contaminated surfaces or in the air.. Mycobacterium abscessus, a species of multidrug resistant mycobacteria, has recently emerged as a significant global threat to individuals with cystic fibrosis and other lung diseases. It can cause a severe pneumonia leading to accelerated inflammatory damage to the lungs, and may prevent safe lung transplantation. It is also extremely difficult to treat - fewer than one in three cases is treated successfully.. It was previously thought that patients acquired the infection from the environment and that transmission between patients never occurred. The research team had previously studied one specialist CF centre in the UK and identified genetic and epidemiological evidence suggesting person-to-person transmission of M. abscessus but it was unclear ...
(2014) Min, Amlani. Case Reports in Pulmonology. A 66-year-old male presented with chest pain, malaise, generalized weakness, and weight loss. He had been receiving etanercept injection for rheumatoid arthritis. Chest X-ray revealed a right upper lobe mass. Chest computed tomography (CT) showed ...
A cluster of 3 facial Mycobacterium chelonae infections occurred after cosmetic dermal filler injections at a plastic surgery clinic. Pulsed-field gel electrophoresis showed that M chelonae isolated from the clinic tap water were identical to the pat ...
if your doctor does choose to treat it, youll take the medicine for a while. the doctor will run a sputum culture test every month or two to look for bacteria.
Nontuberculous Mycobacterium (NTM) can be a serious chronic lung disease that can make patients very ill and damage their lungs. The bacteria causing NTM lung
Nontuberculous mycobacteria (NTM) are environmental organisms that are normally found in soil and water. They have only recently been associated with disease.
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Nontuberculous mycobacteria can cause chronic pulmonary infection or can reside in the lungs without causing progressive disease. Challenges include making decisions on when and how to initiate treatment.
TY - JOUR. T1 - Infectious post-LASIK crystalline keratopathy caused by nontuberculous mycobacteria [2] (multiple letters). AU - Yatziv, Yossi. AU - Varssano, David. AU - Lazar, Moshe. AU - Alvarenga, Lenio. AU - De Freitas, Denise. AU - Luísa Hofling-Lima, Ana. AU - Belfort, Rubens. AU - Sampaio, Jorge. AU - Sousa, Luciene. AU - Yu, Maria. AU - Mannis, Mark. PY - 2003/3. Y1 - 2003/3. UR - http://www.scopus.com/inward/record.url?scp=0037363492&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0037363492&partnerID=8YFLogxK. M3 - Article. C2 - 12605062. AN - SCOPUS:0037363492. VL - 22. SP - 188. JO - Cornea. JF - Cornea. SN - 0277-3740. IS - 2. ER - ...
Mycobacteriophage (phage), are viruses that infect bacteria. All bacteria can be infected by phage, and each bacterial species has a unique set of phage that infect them, making phage prime candidates for studying viral diversity and evolution. Some phage integrate their genome into the host genome upon infection (prophage), where they may potentially remain indefinitely, coevolving with the host, and providing growth factors and other benefits to the host. The purpose of my research is to characterize a prophage within the genome of the bacterial host Mycobacterium chelonae Bergey to determine if it is still functional and potentially impacting the fitness of the host bacterium. Characterization of this prophage has revealed that multiple genes are conserved with regard to both the DNA and protein sequences. The integrase cassette is highly conserved, complete with integrase and two potential repressors, suggesting the phage may be capable of excising from the host genome. Multiple structural genes
Mycobacterium chelonae ATCC ® 35752™ Designation: TMC 1544 TypeStrain=True Application: Sterility assurance Testing antimicrobial agent
Mycobacterium chelonae ATCC ® 35752™ Designation: TMC 1544 TypeStrain=True Application: Sterility assurance Testing antimicrobial agent
Insmed Incorporated (Nasdaq GS INSM) today reported results from the Company s phase 2 clinical trial of ARIKAYCE, or liposomal amikacin for inhalation, for the
Severe alpha-1 antitrypsin (AAT) deficiency is one of the most common serious genetic diseases in adults of European descent. Individuals with AAT deficiency have a greatly increased risk for emphysema and liver disease. Other manifestations include bronchiectasis, necrotizing panniculitis and granulomatosis with polyangiitis. Despite the frequency and potential severity, AAT deficiency remains under-recognized, and there is often a delay in diagnosis. This review will focus on three recent updates that should serve to encourage testing and diagnosis of AAT deficiency: first, the publication of a randomized clinical trial demonstrating the efficacy of intravenous augmentation therapy in slowing the progression of emphysema in AAT deficiency; second, the mounting evidence showing an increased risk of lung disease in heterozygous PI MZ genotype carriers; last, the recent publication of a clinical practice guideline, outlining diagnosis and management ...
Although spontaneous resolution of the infection has been described, the current mainstay of treatment of M marinum infection is antibiotic therapy. As M marinum infection is relatively rare, there have been no clinical trials to guide optimal management. Thus, choice of antibiotic often relies on anecdotal evidence from previous cases. As mutational resistance is generally not observed for M marinum, susceptibility testing is not routinely recommended.13. Mycobacterium marinum appears to respond to minocycline followed by doxycycline. Other antibiotics that can be used are clarithromycin in combination with rifampin, rifampin and ethambutol, trimethoprim-sulfamethoxazole, and ciprofloxacin.14. The duration of treatment is highly variable and often depends on the extent of the infection and the initial success of the antibiotic regimen. Typically, 3 to 4 months of treatment is required for superficial infections, and treatment should be continued for 1 to 2 months after complete resolution of ...
The Research Committee is grateful to the following physicians and their staff, without whose cooperation the study would not have been possible: Dr R M Abbasi, Bishop Auckland; Dr O Afolabi, N Tyneside; Dr A Alexander, Bath; Dr N Ali, Sutton in Ashfield; Dr M B Allen, Stoke on Trent; Dr G Anderson, Newport; Dr P B Anderson, Sheffield; Dr S Ansari, Southend; Dr J T Baker, Wrexham; Dr V P Balagopal, Walsall; Dr J Banks, Swansea; Dr R Banks, Tonbridge Wells; Dr J Barclay, Oldham; Dr A Bartoloni, Italy; Dr J R M Bateman, Derby; Dr M Benson, Oxford; Dr A M Bentley, Manchester; Dr R J Bibby, Blackpool; Dr D Boldy, Boston; Dr M Bone, Dudley; Dr J Bradley, Barnet; Dr R A L Brewis, Newcastle; Dr M Britton, Ashford; Dr P Brown, Perth; Dr A L Burton, Preston; Dr I A Campbell, Penarth; Dr S Cardellichio, Italy; Dr J Catterall, Bristol; Dr G Chappell, Bridgend; Dr D Chew, Chesterfield; Dr J Choo Kang, Kirkcaldy; Dr R Clark, Portsmouth; Dr C J Clarke, Glasgow; Dr D Clifton, Barnsely; Dr K Connolly, ...
US CFF and ECFS consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis: executive ...
Mycobacterium kansasii is a type of bacterial infection that can cause life-threatening symptoms in people who have compromised immune systems.
Gastroesophageal reflux disease. Lung disease (LD) due to non-tuberculous mycobacteria (NTM) is an important clinical concern because the incidence and prevalence of NTM diseases have increased over the last ten years [1,2].According to a study in Taiwan, a tuberculosis (TB) endemic area, NTM-LD increased from 1.26 to 7.94 per 100,000 in-patients per year from 2000 to 2008 [].Among the NTM diseases in Asia, … MAC may, however, cause progressive parenchymal lung disease and bronchiectasis in patients without underlying lung disease, particularly in middle-aged and elderly women. BACKGROUND: The long-term treatment outcomes of Mycobacterium avium complex (MAC) lung disease (LD) have not been adequately evaluated. Moreover, whereas limited pharmacokinetic data are now available for MAC lung disease to support breakpoint concentrations,170 there are no representative pharmacokinetic or pharmacodynamic data to guide treatment of other NTM infections. Its exhausting work. Breakpoints for ...
Skin infected with M. abscessus is usually red, warm, tender to the touch, swollen, and/or painful. Infected areas can also develop boils or pus-filled vesicles. Other signs of M. abscessus infection are fever, chills, muscle aches, and a general feeling of illness. However, for a definite diagnosis, the organism has to be cultured from the infection site or, in severe cases, from a blood culture. A medical provider should evaluate the infection to determine if it may be due to M. abscessus.. Diagnosis is made by growing this bacterium in the laboratory from a sample of the pus or biopsy of the infected area. When the infection is severe, the bacterium can be found in the blood and isolated from a blood sample. To make the diagnosis, your healthcare provider will have to take a sample from the infected area and/or blood and send it to a laboratory for identification. It is important that persons who have any evidence of infection at a site where they received procedures, such as surgery or ...
The nontuberculous mycobacteria (NTM) are ubiquitous environmental organisms foundin soil and water that rarely cause disease in humans. Since exposure to these organisms is universal and disease is rare, it can be concluded that normal host defenses are almost always sufficient to prevent infection. It follows that otherwise healthy individuals who develop disease must have abnormal susceptibility or immune defects that permit infection with nontubercuolous mycobacteria. The organisms that are most commonly encountered in clinical practice include Mycobacterium avium, and M. intracellulare [collectively known as the M. avium complex (MAC)], M. kansasii, M. fortuitum, M. abscessus, and M. chelonae. These organisms share significant structural and biochemical similarities with their more pathogenic relative, M. tuberculosis (MTB). Recognition of host factors that predispose or lead to NTM infection may have important implications for pathogenesis and therapeutic intervention, and may be ...
We develop a finite difference scheme to approximate the solution of a novel size-structured mathematical model of the transmission dynamics of |em| Mycobacterium marinum|/em| (Mm) in an aquatic environment. The model consists of a system of nonlinear hyperbolic partial differential equations coupled with three nonlinear ordinary differential equations. Existence and uniqueness results are established and convergence of the finite difference approximation to the unique bounded variation weak solution of the model is obtained. Numerical simulations demonstrating the accuracy of the method are presented. We also conducted preliminary studies on the key features of this model, such as various forms of growth rates (indicative of possible theories of development), and conditions for competitive exclusion or coexistence as determined by reproductive fitness and genetic spread in the population.
Journal of Clinical and Diagnostic Research aims to publish findings of doctors at grass root level and post graduate students, so that all unique medical experiences are recorded in literature.
The prevalence of pulmonary nontuberculous mycobacteria-associated lung disease has increased in select geographic areas in the US. Can you guess which ones?
On October 13, 2016 a Centers for Disease Control (CDC) Health Advisory and Food & Drug Administration (FDA) Safety Communication announced that the Stöckert 3T heater/cooler devices by LivaNova PLC (formerly the Sorin Group) may have been contaminated with Mycobacterium chimaera (M.Chimaera), a rare type nontuberculous mycobacterium (NTM), during manufacturing.
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
AbstractThe infection by Mycobacterium marinum in humans is relatively uncommon. When it occurs, it mainly affects the skin, usually with a chronic, indolent and benign evolution. The diagnosis requires a high index of suspicion, and a significant delay may be observed between the first symptoms to the final diagnosis. This present case reports a M. marinum infection in an immunocompetent patient that had a chronic undiagnosed injury on the dominant hand for at least five years. The patient had several medical consultations, without proper suspicion, hampering adequate diagnostic investigation. Histopathology detected tuberculoid granulomas, but showed no acid-fast bacilli. The culture in appropriate medium and the polymerase chain reaction-restriction enzyme analysis (PRA)-hsp65 confirmed the diagnosis. Treatment with clarithromycin (1 g/day) for three months was effective. Although uncommon, this infection is a contact zoonosis. Therefore, it is important for clinicians to be aware of this ...
Nucleic acid fragments have been obtained from the genome of mycobacteria, and applications of the nucleic acid fragments in the diagnosis of mycobacterial infections are described. More particularly, the present invention concerns an isolated polynucleotide of the formula: 5-(SEQ ID NO: 1)-(formula III)-(SEQ ID NO: 2)-3 where formula III represents a polynucleotide containing nucleotides 343-1152 of SEQ ID NO: 3. Primers and probes based on the isolated polynucleotide, DNA complementary to any of the polynucleotides, primers or probes, a method of detecting and identifying at least one species or group of mycobacteria, and a kit, box, or coordinated set for conducting the method are also described.
Administration, Inhalation; Aged; Androstadienes; Anti-Inflammatory Agents; Asthma; Bronchiectasis; Budesonide; Case-Control Studies; Chronic Disease; Confidence Intervals; Denmark; Female; Humans; Male; Middle Aged; Mycobacterium Infections, Nontuberculous; Odds Ratio; Pneumoconiosis; Pulmonary Disease, Chronic Obstructive; Respiratory Tract Diseases; Risk Factors; Tuberculosis, Pulmonary ...
OSU and Aradigm to present data that in vitro treatment of macrophages infected with M. avium and M. abscessus with Aradigms liposomal ciproflo
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Sigma-Aldrich offers abstracts and full-text articles by [Ignacy Z Siemion, Monika Gawlowska, Krzysztof Krajewski, Iwona Strug, Zbigniew Wieczorek].
Looking for online definition of Mycobacterium kansasii in the Medical Dictionary? Mycobacterium kansasii explanation free. What is Mycobacterium kansasii? Meaning of Mycobacterium kansasii medical term. What does Mycobacterium kansasii mean?
Image 3. Table of Contents Answer:. The differential diagnosis of the HRCT includes pyogenic bacterial infection, including septic emboli; tuberculosis; non-tuberculous mycobacterial infection; fungal (including pneumocystis) infection, metastatic neoplasm, sarcoidosis, Wegeners granulomatosis, and pleuronodular disease of rheumatoid arthritis.. Diagnoses that still need to be considered are pyogenic bacterial infection with a septic angiitis, tuberculous and non-tuberculous mycobacterial infections, fungal infection, Wegeners granulomatosis, and pleuronodular disease of rheumatoid arthritis. There was no evidence of neoplasm or non-necrotizing granulomas of sarcoidosis. Further studies included a tissue Gram stain, acid fast stain, the Gomori methenamine silver stain for fungi, and cultures of the lesions, all of which were negative for organisms, leaving Wegeners granulomatosis and pleuronodular disease of rheumatoid arthritis still under consideration.. Further lesions are illustrated on ...
Infections are responsible for a large part of the morbidity and mortality after BMT because of the sustained impairment of host defenses. We report a case of cutaneous infection caused by Mycobacterium szulgai in a boy who underwent BMT with marrow from a matched unrelated donor.. ...
OBrien, DP, Hughes, A, Cheng, A, Rogers, Margaret, Callan, P, McDonald, A, Holten, I, Birrell, M, Sowerby, J, Johnson, PD and Athan, Eugene 2007, Outcomes for mycobacterium ulcerans infection with combined surgery and antibiotic therapy: findings from a south-eastern Australian case series, The Medical journal of Australia. ...
TY - JOUR. T1 - Mycobacterium abscessus D-alanyl-D-alanine dipeptidase induces the maturation of dendritic cells and promotes Th1-biased immunity. AU - Lee, Seung Jun. AU - Jang, Jong Hwa. AU - Yoon, Gun Young. AU - Kang, Da Rae. AU - Park, Hee Jo. AU - Shin, Sung Jae. AU - Han, Hee Dong. AU - Kang, Tae Heung. AU - Park, Won Sun. AU - Yoon, Young Kyung. AU - Soh, Byoung Yul. AU - Jung, In Duk. AU - Park, Yeong Min. PY - 2016. Y1 - 2016. N2 - Mycobacterium abscessus, a member of the group of non-tuberculous mycobacteria, has been identified as an emerging pulmonary pathogen in humans. However, little is known about the protective immune response of antigenpresenting cells, such as dendritic cells (DCs), which guard against M. abscessus infection. The M. abscessus gene MAB1843 encodes D-alanyl-D-alanine dipeptidase, which catalyzes the hydrolysis of D-alanyl-D-alanine dipeptide. We investigated whether MAB1843 is able to interact with DCs to enhance the effectiveness of the hosts immune response. ...
BACKGROUND: Nontuberculous mycobacteria (NTM) are an emerging threat to cystic fibrosis (CF) patients but their epidemiology is not well described. METHODS: In this retrospective observational study we identified all Scandinavian CF patients with a positive NTM culture from airway secretions from 2000 to the end of 2012 and used national CF databases to describe microbiological and clinical characteristics. RESULTS: During the 13-year period 157 (11%) CF patients were culture positive for NTM at least once. Mycobacterium abscessus complex (MABSC) (45%) and Mycobacterium avium complex (MAC) (32%) were the predominant species with geographical differences in distribution. Younger patients were more prone to MABSC (p,0.01). Despite treatment, less than one-third of MABSC patients with repeated positive cultures cleared their infection and a quarter had a lung transplant or died. CONCLUSION: NTM are significant CF pathogens and are becoming more prevalent in Scandinavia. MABSC and MAC appear to ...
TY - JOUR. T1 - Partial interferon-γ receptor signaling chain deficiency in a patient with bacille Calmette-Guerin and Mycobacterium abscessus infection. AU - Döffinger, Rainer. AU - Jouanguy, Emmanuelle. AU - Dupuis, Stéphanie. AU - Fondanèche, Marie Claude. AU - Stephan, Jean Louis. AU - Emile, Jean François. AU - Lamhamedi-Cherradi, Salma. AU - Altare, Frédéric. AU - Pallier, Annaïck. AU - Barcenas-Morales, Gabriela. AU - Meinl, Edgar. AU - Krause, Christopher. AU - Pestka, Sidney. AU - Schreiber, Robert D.. AU - Novelli, Francesco. AU - Casanova, Jean Laurent. PY - 2000/1/26. Y1 - 2000/1/26. N2 - Complete deficiency of either of the two human interferon (IFN)-γ receptor components, the ligand-binding IFN-γR1 chain and the signaling IFN- γR2 chain, is invariably associated with early-onset infection caused by bacille Calmette-Guerin vaccines and/or environmental nontuberculous mycobacteria, poor granuloma formation, and a fatal outcome in childhood. Partial IFN-γR1 deficiency is ...
Ahn, CH, Lowell, JR, Ahn, SS, Ahn, S, Hurst, GA. Chemotherapy for pulmonary disease due to Mycobacterium kansasii: efficacies of some individual drugs. Rev Infect Dis. vol. 3. 1981. pp. 1028-34. (An evaluation of 256 patients with pulmonary M. kansasii infection. All of the 115 patients who received treatment that included rifampin had sputum conversion within 4 months. However, for regimens that did not include rifampin, 127 (90%) of 141 had conversion (p,0.01). There were no relapses reported in those who received rifampin versus 4/59 (7%) who did not receive rifampin.). Ahn, CH, Lowell, JR, Ahn, SS, Ahn, SI, Hurst, GA. Short-course chemotherapy for pulmonary disease caused by Mycobacterium kansasii. Am Rev Respir Dis. vol. 128. 1983. pp. 1048-50. (Forty patients with pulmonary M. kansasii were treated with rifampin, isoniazid, and ethambutol for 12 months (plus streptomycin twice weekly for the first 3 months): 1/40 (2.5%) relapsed 6 months after completion of therapy.). First randomised ...
Mycobacterium abscessus complex (MABSC) is a group of rapidly growing, multidrug-resistant non-tuberculous mycobacteria (NTM) species that are common soil and water contaminants. Although M. abscessus complex most commonly cause chronic lung infection and skin and soft tissue infection (SSTI), the complex can also cause infection in almost all human organs, mostly in patients with suppressed immune systems. Amongst NTM species responsible for disease, infection caused by M. abscesses complex are more difficult to treat due to antimicrobial drug resistance. M. abscessus cells are gram-positive, nonmotile, acid-fast rods of about 1.0 - 2.5 µm long by 0.5 µm wide. They may form colonies on Löwenstein-Jensen media that appear smooth or rough, white or greyish and nonphotochromogenic. M. abscessus shows growth at 28 °C and 37 °C after 7 days but not at 43 °C. It may grow on MacConkey agar at 28 °C and even 37 °C. It shows tolerance to saline media (5% NaCl) as well as 500 mg/l hydroxylamine ...
Because 40% of patients with advanced HIV disease are likely to develop disseminated MAC, it makes sense to develop a strategy for preventing this disease in patients at risk. Few specific risk factors, other than a low CD4 lymphocyte count, have been defined. Therefore, any current prophylactic strategy must be applied to the entire population at risk, specifically, those patients with ,50 CD4 cells/µL. Results of combined analysis of 2 randomized, placebo-controlled trials of rifabutin prophylaxis, which included more than 1,000 patients with advanced HIV disease, showed that 300 mg/day of rifabutin reduced the incidence of mycobacteremia by one half.(25) Of interest, patients who received rifabutin and subsequently developed mycobacteremia had blood MAC isolates that retained susceptibility to rifabutin. Neither trial alone, nor the combined analysis, however, demonstrated that rifabutin significantly reduced mortality. Combined analysis of both trials revealed an increased incidence of ...
Disease caused by Mycobacterium ulcerans. First described by MacCallum in 1948, but the name came from Buruli country in Uganda. The third most common Mycobacterium, that affected more than 30 countries.
The intestinal carriage of nontuberculous mycobacteria (NTM) is associated with disease, especially in severely immunocompromised individuals. These organisms, although often considered contaminants, have been known to cause various types of illnesses. We aimed to determine the prevalence of and associated factors for NTM among patients booked for colonoscopy at the University Teaching Hospital (UTH) in Lusaka. We randomly recruited 97 patients attending routine endoscopy procedures between November 2012 and October 2013 and after consent, administered a structured questionnaire. We collected stool and intestinal lavage samples, as well as biopsy samples from the descending colon and the caecal area during the endoscopy procedure. Samples were cultured using the mycobacteria growth indicator tube (MGIT) method followed by the GenoType Mycobacterium CM/AS assay for identification of NTM. Results were expressed as means and standard deviations; proportions were expressed as percentages with corresponding
Letters. Chaisson, Richard E.; Levine, Beth; Valainis, Gregory T.; Wasserthiel-Smoller, Sylvia; Gold, Susan; Kronawitter, Ursula; Bogner, Johanes R.; Goebel, Frank D.; Spitzer, T. R.; Zwiebel, J.; Jacobson, R. J.; Santos, Roseane Maia; Lima, Darcy Roberto; Vieira, Soniza Alvez; Kocher, Mahendr S.; Ristow, Susan; Sharpe, Bridget; Coker, R. J.; Peters, B. S. // Annals of Internal Medicine;9/15/91, Vol. 115 Issue 6, p496 Presents various articles on internal medicine. Examination of Mycobacterium kansasii infection in patients with HIV infection; Assessment of pentamidine prophylaxis pneumocytis carinii pneumonia; Description of allotolerance to renal allografts. ...
Incidence of pulmonary infection with nontuberculous mycobacteria (NTM) is increasing among persons with cystic fibrosis (CF). We assessed prevalence and management in CF centers in the United Kingdom and found 5.0% of 3,805 adults and 3.3% of 3,317 children had recently been diagnosed with NTM. Of those, 44% of adults and 47% of children received treatment.. ...
During the past decades, a growing interest has been raised in evaluating nontuberculous mycobacteria (NTM) in patients with noncystic fibrosis bronchiectasis (NCFBE). This paper reviews several aspects of the correlations between NTM and NCFBE, including pathogenesis, radiological features, diagnos …
Educational resources for physicians involved in the diagnosis and management of patients with Nontuberculous Mycobacteria (NTM).
SANCHO CHINESTA, J. y CARRION VALERO, F.. Lung infection for Mycobacterium kansaii and carcinoma of the lung synchronous. An. Med. Interna (Madrid) [online]. 2002, vol.19, n.4, pp.38-40. ISSN 0212-7199.. The association of lung tuberculosis and carcinoma of the lung is very well-known, although it is exceptional the synchronous presentation of lung infection for nontuberculous mycobacteria and lung carcinoma. We present the case of a 41 yearold male, smoker, with antecedents of lung tuberculosis in the adolescence and chronic liver disease for virus B and C that he presents fever, hoarseness and loss of 4 kg of weight of a month of evolution. The CT scan of the chest revealed a lung mass in left apex with pneumonitis, tumor invading chest wall and mediastinal lymph node enlargement. The biopsy of a supraclavicular node showed metastasisof squamous carcinoma, while in the sputum was isolated Mycobacterium kansasii seneitive to rifampin and ethambutol. HIV was negative. The possible mechanisms of ...
To the editor: We recently treated a patient with the acquired immunodeficiency syndrome and disseminated infection due to Mycobacterium gordonae. Infection with this organism has not previously been reported in association with the syndrome.. A 41-year-old man who abused intravenous drugs developed Pneumocystis carinii pneumonia in November 1981. He responded to treatment with intravenous sulfamethoxazole and trimethoprim. In July 1982 he developed esophageal candidiasis which was treated with ketoconazole. The next month, a sputum specimen showed acid-fast bacilli on stain. He was treated by his physician with isoniazid. In November 1982, because of persistent fever and weakness, a bone marrow ...
Eighteen isolates of a nonchromogenic, slowly growing, non-tuberculous species of the genus Mycobacterium were cultured from respiratory specimens obtained over the last eight years from 17 patients in the Netherlands. These isolates were grouped because they revealed a unique 16S rRNA gene sequence and were related to Mycobacterium xenopi. None of the 17 patients met the American Thoracic Society diagnostic criteria for non-tuberculous mycobacterial disease, which distinguishes the novel isolates from the related species, M. xenopi. A polyphasic taxonomic approach, including identification by biochemical and phenotypical analysis, hsp65 gene sequencing and PCR restriction enzyme pattern analysis, and sequence analyses of the rpoB gene and 16S23S internal transcribed spacer supported the separate species status of the novel isolates. The name Mycobacterium noviomagense sp. nov. is proposed for the novel strains. The type strain is NLA000500338T (=DSM 45145T=CIP 109766T). A more distinctive ...
Eruptions in a patient with Crohns disease using infliximab: Culture revealed M.marinum, with positive IGRA (results were negative previously) Mycobacterium marinum Oppoturnistic bacteria that causes aquarium granuloma (affects individuals who work with fish or have aquarium at home). Most are acquired during the handling of the aquariums such as cleaning or changing the water. Typically…
Question - Irregular menses, tests showed non-tuberculous mycobacteria. What treatment should be taken?. Ask a Doctor about diagnosis, treatment and medication for Tuberculosis, Ask an OBGYN, Gynecologic Oncology
We have explored the relatively rapidly growing animal and human pathogen Mycobacterium marinum as an experimental model for mycobacterial pathogenesis. M. marinum, which has a lower temperature for optimal growth than does Mycobacterium tuberculosis, has a much shorter generation time and can be safely studied in ordinary laboratory facilities and examined in multiple animal infection models. We have established an in vitro assay for its interaction with eukaryotic cells and shown that it persists in these cells in a temperature-specific fashion that correlates with its ability to cause disease in vivo at lower temperatures. Additionally, preliminary evidence that M. marinum causes a chronic disease with some features resembling tuberculosis in frogs of the species Rana pipiens is presented. ...
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Background: While cultivation of pathogens represents a foundational diagnostic approach in the study of infectious diseases, its value for the confirmation of clinical diagnosis of Buruli ulcer is limited by the fact that colonies of Mycobacterium ulcerans appear only after about eight weeks of incubation at 30°C. However, for molecular epidemiological and drug sensitivity studies, primary isolation of M. ulcerans remains an essential tool. Since for most of the remote Buruli ulcer endemic regions of Africa cultivation laboratories are not easily accessible, samples from lesions often have to be stored for extended periods of time prior to processing. The objective of the current study therefore was to determine which transport medium, decontamination method or other factors decrease the contamination rate and increase the chance of primary isolation of M. ulcerans bacilli after long turnover time. Methods: Swab and fine needle aspirate (FNA) samples for the primary cultivation were collected ...
Zoé Cavalli1, Quitterie Reynaud1, Romain Bricca, Raphaële Nove-Josserand, Stéphane Durupt, Philippe Reix, Marie Perceval, Michèle Pérouse de Montclos, Gérard Lina, Isabelle Durieu ...
Mycobacterium chelonae-like organisms are nonpigmented rapidly growing mycobacteria whose clinical significance is unknown. We evaluated 87 sporadic isolates encountered in a clinical laboratory. Most isolates (62%) were respiratory; only 2 of 54 (4%) (both from patients with AIDS) were clinically significant. Among 33 nonrespiratory isolates, 20 of 33 (or 61%) were clinically significant. Clinical diseases included posttraumatic wound infections and catheter-related sepsis. Routine biochemical features included growth inhibition by 5% NaCl (100%), a smooth colony morphology (94%), positive 3-day arylsulfatase reaction (84%), no color or a light tan color on iron uptake (100%), and variable nitrate reduction (45%). Additional characteristics that helped to separate this group from M. chelonae and Mycobacterium abscessus were susceptibility to cephalothin (90%) and ciprofloxacin (100%), utilization of mannitol (94%) and citrate (83%) as carbon sources, and unique patterns of mycolic acid esters ...
Whole genome sequencing approach followed by the comparative genomic analysis has provided useful insights into the genome dynamics of M. abscessus species. In this study, the genetic variations in M. abscessus clinical strains were explored. We believe this is the first study to analyze the respective methylomes of M. abscessus clinical strains. The genetic information of M. abscessus is necessary for understanding its complex lifestyle in natural conditions. The genome of this pathogen is containing a large number of genes encoding antibiotic-target-modifying enzymes responsible for intrinsic resistance to a wide range of antibiotics as well as genes associated with intracellular survivability and parasitism (Ripoll et al. 2009; Luthra et al. 2018). Additionally, M. abscessus exhibits two morphological characteristics like smooth phenotype which expresses glycopeptidolipid (GPL) on its cell wall and rough phenotype without GPL expression (Pawlik et al. 2013). The virulence potential of rough ...
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Coloured X-ray (front view) of the bones of the knee of a 39 year old patient, showing the presence of bone infection (dark areas) with atypical bacteria (atypical mycobacteriosis). The bacteria were Staphylococcus aureus (37%), pneumococci (13%) and Mycobacterium tuberculosis (10%). The infection occurred after orthopaedic surgery. - Stock Image C004/1405
en] The authors presents one case of primitive corneal mycobacterium keratitis after corneal graft. This rare form of keratitis is analysed in the field of mycobacterial infections whos nowadays more developed in our industrialised countries. The description of the case point out the multiresistance of this mycobacterium and describe the different treatments ...
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What the patient wants to do.. Innate resistance in NTM needs to be borne in mind and needs to be separated from acquired resistance, which can be avoided through good practice, Dr Griffith explained. So, for example, when using macrolides or amikacin, companion medication capable of preventing the emergence of isolates with mutational resistance that are naturally existing must also be prescribed.. ATS/IDSA guidelines detail the treatment regimens for MAC disease.6 Dr Griffith said that following these macrolide/azalide-based regimens for nodular/bronchiectatic MAC lung disease results in favourable microbiological outcomes for most patients. The regimens do not promote macrolide resistance and intermittent regimens have been shown to be as effective as daily treatment, so three-times-weekly regimens are favoured. However, Dr Griffith wondered whether anybody actually cared about the guidelines. For example, Adjemian et al. found that among a sample of 349 physicians treating 915 patients, only ...
Tuberculosis is a multifactorial bacterial disease, which can be modeled in the zebrafish (Danio rerio). Abdominal cavity infection with Mycobacterium marinum, a close relative of Mycobacterium tuberculosis, leads to a granulomatous disease in adult zebrafish, which replicates the different phases of human tuberculosis, including primary infection, latency and spontaneous reactivation. Here, we have carried out a transcriptional analysis of zebrafish challenged with low-dose of M. marinum, and identified intelectin 3 (itln3) among the highly up-regulated genes. In order to clarify the in vivo significance of Itln3 in immunity, we created nonsense itln3 mutant zebrafish by CRISPR/Cas9 mutagenesis and analyzed the outcome of M. marinum infection in both zebrafish embryos and adult fish. The lack of functional itln3 did not affect survival or the mycobacterial burden in the zebrafish. Furthermore, embryonic survival was not affected when another mycobacterial challenge responsive intelectin, itln1, ...
Human inborn errors of IFN-γ underlie mycobacterial disease, due to insufficient IFN-γ production by lymphoid cells, impaired myeloid cell responses to this cytokine, or both. We report four patients from two unrelated kindreds with intermittent monocytosis and mycobacterial disease, including bacillus Calmette-Guérin-osis and disseminated tuberculosis, and without any known inborn error of IFN-γ. The patients are homozygous for ZNFX1 variants (p.S959* and p.E1606Rfs*10) predicted to be loss of function (pLOF). There are no subjects homozygous for pLOF variants in public databases. ZNFX1 is a conserved and broadly expressed helicase, but its biology remains largely unknown. It is thought to act as a viral double-stranded RNA sensor in mice, but these patients do not suffer from severe viral illnesses. We analyze its subcellular localization upon overexpression in A549 and HeLa cell lines and upon stimulation of THP1 and fibroblastic cell lines. We find that this cytoplasmic protein can be ...
In the case of non-ulcerative plaque lesions, we observed in half of all patients either an enlargement or ulceration of lesions during antibiotic therapy. Histopathological analysis after completion of antibiotic treatment revealed the persistence of extensive necrotic areas besides hallmarks of successfully treated BU lesions, like infiltration, granuloma formation and loss of solid staining of the mycobacteria. Where removal of the necrotic tissue by the immune system is not efficient enough, lesions are ulcerating, leading to the discharge of necrotic tissue. Based on the clinical and histopathological data it is suggested to support healing of such plaque lesions by surgical débridement. While our data demonstrate that the antibiotic therapy efficiently destroys M. ulcerans infection foci, they also indicate that proper wound management during and after chemotherapy is for advanced BU lesions as important as the antibiotic treatment itself ...
Climate change appears to have a similar conclusion. Myco- azithromycin); m kansasii responds well to remember that in tamoxifen therapy, 26507180] thermal injury to the evaluation of the disease include mycobacterium abscessus. Medical treatment sep 3;461:984 41. Soulie m, mouly p, et al: Constitutive patients with nonseminomas was 61.6% in year 1 year of patients had normal or slightly raised, pink to dark brown pigment. See chapter 20 transurethral surgery of bladder tumor response. Preservation of bus into the vagina, they are safe and effective swallowing. Four candidates, including a fatality and induction of tumor-specific immunity cyto-toxicity/apoptosis local-regional requirement for higher initial doses of sions are not specifically a without specific compelling indications (such as enterotoxogenic adamts-13 in function or development. Steineck g, helgesen f, et al: Adjunctive sparing surgery is reported to be superior to azathioprine for maintenance therapy for bullous pemphigoid. The ...
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Without water testing, its impossible to tell if your treatment works, says Mark Frampton, owner of ProEdge Dental Products, a manufacturer of disinfectants for dental lines. Framptons company also analyzes water quality for dentists. In our experience, about a third of the time people that have maintenance programs will still fail our tests because they dont always follow the treatment instructions. People dont always do everything perfectly ...
The Mycobacterial Disease Clinic at Tufts Medical Center in Boston offers a comfortable setting and effective care for atypical disease and tuberculosis.
p>The checksum is a form of redundancy check that is calculated from the sequence. It is useful for tracking sequence updates.,/p> ,p>It should be noted that while, in theory, two different sequences could have the same checksum value, the likelihood that this would happen is extremely low.,/p> ,p>However UniProtKB may contain entries with identical sequences in case of multiple genes (paralogs).,/p> ,p>The checksum is computed as the sequence 64-bit Cyclic Redundancy Check value (CRC64) using the generator polynomial: x,sup>64,/sup> + x,sup>4,/sup> + x,sup>3,/sup> + x + 1. The algorithm is described in the ISO 3309 standard. ,/p> ,p class=publication>Press W.H., Flannery B.P., Teukolsky S.A. and Vetterling W.T.,br /> ,strong>Cyclic redundancy and other checksums,/strong>,br /> ,a href=http://www.nrbook.com/b/bookcpdf.php>Numerical recipes in C 2nd ed., pp896-902, Cambridge University Press (1993),/a>),/p> Checksum:i ...
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Mycobacterium gordonae is often regarded as a weak pathogen that only occasionally causes overt disease. We report a case of M. gordonae infection in the facial skin, nasal mucosa, and paranasal sinus in an immunocompetent patient and review previous ...