Presentation
This case highlights the need to maintain an elevated index of suspicion for atypical pathogens with unusual clinical presentations among the lung transplant population. [ncbi.nlm.nih.gov]
Here we present a case of a sevenmonth- old boy presented with multiple neck and axillary swellings. The patient was treated medically and then came back with a relapse. Eventually, he was diagnosed with IL-12 deficiency. [alliedacademies.org]
[…] pneumonia, and disseminated infection), histoplasmosis (5 cases; presented with lymphadenitis, pneumonia, and skin abscess), and melioidosis (4 cases; all presented with pneumonia). [academic.oup.com]
Entire Body System
- Fever
Such infection should be suspected in a patient with hairy cell leukemia who has persistent fever without an obvious source. Tissue biopsy usually led to diagnosis; urine cultures were also positive in two patients. [ncbi.nlm.nih.gov]
바이러스 감염 : 아레나바이러스에 의한 아르헨티나 출혈열(Argentine hemorrhagic fever) 또는 볼리비아 출혈열(Bolivian hemorrhagic fever) 기타 : 간 질환, 뱀에 물림, 거대 혈관종, 쇼크, 열사병, 맥관염(vasculitis), 대동맥 비대증(aortic aneurysm), 세로토닌 증후군(serotonin syndrome)[6] 병리 생리학[편집] 진단[편집] DIC의 진단은 하나 이상의 검사가 [ko.wikipedia.org]
Patient 4, a man aged 36 years, presented with fever, chronic fever, and diarrhea of 5 months' duration. Physical examination revealed oral candidiasis. No lymphadenopathy was detected. [cdc.gov]
- Weight Loss
They presented with fever, weight loss, lymphadenopathy, and hepatosplenomegaly. They had anaemia and an acute phase response. [ncbi.nlm.nih.gov]
At other times, they can cause lung symptoms similar to tuberculosis: Cough Weight loss Coughing up blood or mucus Weakness or fatigue Fever and chills Night sweats Lack of appetite and weight loss Medicines can treat these infections, but often more [icdlist.com]
Signs and symptoms There are four main symptom types: Pulmonary (lung) disease Symptoms may include: cough fatigue shortness of breath blood-stained sputum (phlegm) weight loss chest pain. [sahealth.sa.gov.au]
Two weeks prior to presentation, he had intermittent fever associated with sweating and loss of appetite but no rigors or weight loss. [alliedacademies.org]
If MAC goes all over your body, you may have: High fever or chills Night sweats Belly pain Diarrhea Weight loss Fatigue Swollen glands Fewer red blood cells ( anemia ) You could also have more serious symptoms like: Blood infections Hepatitis Pneumonia [webmd.com]
- Malaise
Systemic symptoms include malaise, fatigue, and weight loss in advanced disease. [15] The diagnosis of M. abscessus pulmonary infection requires the presence of symptoms, radiologic abnormalities, and microbiologic cultures. [en.wikipedia.org]
Adverse Events and Complications Two patients required a reduction in the dose of interferon gamma because of fatigue, malaise, and myalgias. [nejm.org]
Symptoms No typical Manifestations• Fever• Weight loss• Enlarged lymph glands• Diarrhea• Sweating, excessive -- night sweats• Fatigue• General discomfort, uneasiness or ill feeling (malaise)• Cough• Shortness of breath (dyspnea)• Skin lesions• Joint pain [slideshare.net]
- Chills
Clinically, these patients had symptoms of fever and chills; an infiltrate was usually present on chest radiography. [ncbi.nlm.nih.gov]
At other times, they can cause lung symptoms similar to tuberculosis: Cough Weight loss Coughing up blood or mucus Weakness or fatigue Fever and chills Night sweats Lack of appetite and weight loss Medicines can treat these infections, but often more [icdlist.com]
If MAC goes all over your body, you may have: High fever or chills Night sweats Belly pain Diarrhea Weight loss Fatigue Swollen glands Fewer red blood cells ( anemia ) You could also have more serious symptoms like: Blood infections Hepatitis Pneumonia [webmd.com]
Gastrointestinal
- Abdominal Pain
MAC medications can have side effects, such as: Feeling queasy, throwing up, or diarrhea Abdominal pain Eye swelling that brings eye pain, light sensitivity, redness, or blurred vision Rashes, itching Anemia Hearing Loss Numbness in feet Hearing loss [webmd.com]
Disseminated MAC disease causes fever, anemia, thrombocytopenia, diarrhea, and abdominal pain (features similar to Whipple disease). [merckmanuals.com]
- Hematochezia
Disseminated Mycobacterium avium complex presenting as hematochezia in an infant with rapidly progressive acquired immunodeficiency syndrome. Pediatr Infect Dis J. 1996 Aug. 15(8):713-5. [Medline]. [emedicine.medscape.com]
Skin
- Sparse Hair
NEMO deficiency syndrome.[ 12,13 ] Ectodermal dysplasia (ED), one of the better characterized disorders resulting from deficiency of NEMO protein, shows the typical phenotype including thickened skin, conical teeth, absence of sweat glands, and thin, sparse [mjhid.org]
Workup
The patient was transferred for further workup and treatment of combined MTB and MAC infection. Two months later, the patient was diagnosed with IL-12 deficiency. [alliedacademies.org]
Treatment
Treatment with multiple antibiotics failed to eradicate the infection, although treatment with gamma interferon was associated with improvement. Three have died and the surviving children have chronic infection. [ncbi.nlm.nih.gov]
The aim of the book is to provide a broad readership with a comprehensive, highly illustrated overview of the diseases covered and a practical guide to their diagnosis and treatment. [books.google.com]
Management Effective treatment depends on precise diagnosis and identification of the underlying organism. Treatment will also be governed by results of culture and sensitivity. [patient.info]
Usually treatment consists of a combination of drugs. [dermnetnz.org]
Prognosis
Current literature suggests a favorable prognosis in most cases of MAC infection in lung transplant recipients with appropriate treatment. [ncbi.nlm.nih.gov]
Prognosis The prognosis is good with proper medical and surgical treatment. [patient.info]
Ollé Goig JE, Sandy R (2003) Prognosis of mono-and polydrug resistant pulmonary tubercolosis in the city of Santa Cruz, Bolivia. Arch Bronconeumol 39:382–386 PubMed CrossRef Google Scholar 13. [link.springer.com]
Etiology
The pericardial effusion was suggestive of tuberculous origin, however, lack of response to conventional anti-tuberculous therapy raised suspicion about the etiology of the effusion being non-tuberculous. [ispub.com]
(Etiology) Atypical Mycobacterial Infections are caused by any species of non-tuberculous mycobacteria. Up to 13 distinct species of atypical mycobacteria are known to cause human infection. [dovemed.com]
Mycobacterium avium-intracellulare is the most common etiology of systemic disease in humans. Other types of mycobacteria are discussed in different eMedicine articles (eg, Mycobacterium Fortuitum, Mycobacterium gordonae). [dermaamin.com]
[…] to mycobacterial infection was reported.[ 2 ] The affected patients were maternally related members of the family revealed to have defective IL-12 production, which is necessary to defend against mycobacteria.[ 2 ] Later that same year, the genetic etiology [mjhid.org]
[…] tuberculosis, Am Rev Respir Dis, 1972, vol. 105 (pg. 683 - 714 ) 19 Management of atypical mycobacterial lymphadenitis in childhood: a review based on 380 cases, J Pediatr, 1979, vol. 95 (pg. 356 - 60 ) 20 Mycobacterial cervical lymphadenopathy: relation of etiologic [academic.oup.com]
Epidemiology
It discusses the epidemiological and clinical aspects of each disease in detail and illustrates the biology and life cycle of the causatory organism, as well as the pathology associated with infection and details of the treatment and long term management [books.google.com]
Epidemiology of infection by nontuberculous mycobacteria. VI. Identification and use of epidemiologic markers for studies of Mycobacterium avium, M. intracellular, and M. scrofulaceum. Am Rev Respir Dis 1986;134:39–43. PubMed Google Scholar 24. [link.springer.com]
1987 to 2000, Respir Med, 2003, vol. 97 (pg. 257 - 63 ) 5 Epidemiology of human pulmonary infection with nontuberculous mycobacteria, Clin Chest Med, 2002, vol. 23 (pg. 553 - 67 ) 6 Epidemiology clinical significance of nontuberculous mycobacteria in [academic.oup.com]
The epidemiology of nontuberculous mycobacterial disease. Clin Chest Med. 1989 Sep. 10(3):407-18. [Medline]. Schonell ME, Crofton JW, Stuart AE, Wallace A. Disseminated infection with Mycobacterium avium: I. [emedicine.medscape.com]
Pathophysiology
The pathophysiology of disseminated Mycobacterium avium complex disease in AIDS. J Infect Dis. 1999; 179: S461-465. Vankayalapati R, Wizel B, Samten B, et al. Cytokine profiles in immunocompetent persons infected with Mycobacterium avium complex. [alliedacademies.org]
Pathophysiology Infections with atypical mycobacteria usually occur in immunocompromised hosts due to host immunity and resistance factors. Pulmonary infections can occur in patients with impaired ventilation systems. [dermaamin.com]
A large cohort study on natural history, phenotype, and genetics in these patients is underway to delineate the pathophysiology and genetics of anti–IFN-γ IgG autoantibodies. [academic.oup.com]
Mycobacterium smegmatis may be either pigmented or nonpigmented. [3, 4, 5, 6] Pathophysiology Atypical mycobacteria are obligate aerobes that can be found in the environment in soil, water, vegetables, and even in domestic animals and dairy products. [emedicine.medscape.com]
Prevention
(November 6, 2017) Centers for Disease Control and Prevention. CDC Features: Pneumonia can be prevented—vaccines can help. Available online at https://www.cdc.gov/Features/Pneumonia/. Accessed on September 8, 2018. [labtestsonline.it]
You can prevent MAC by starting antiretroviral therapy (ART) early and not allow your CD4 count to get low. [webmd.com]
Can People Prevent Atypical Mycobacterial Infections? Because mycobacteria are common in the environment, these infections are difficult to prevent, especially in people with weakened immune systems. [encyclopedia.com]
Specific prevention options for Atypical Mycobacterial Infections depend on the infecting species type. [dovemed.com]
Control measures for mycobacterial infections (non-tuberculosis) Preventive measures As little information is known about the mode of transmission, the prevention of atypical mycobacterial infections is difficult. [ideas.health.vic.gov.au]