Presentation
We present the case of a 69-year-old man with significant respiratory comorbidities who presented with slow growing pulmonary nodules which cavitated. [ncbi.nlm.nih.gov]
Entire Body System
- Fatigue
The symptoms caused by NTM infection can vary from no symptoms to severe cough, fatigue, and weight loss. [lung.org]
CONTINUE SCROLLING OR CLICK HERE FOR RELATED SLIDESHOW SLIDESHOW The 14 Most Common Causes of Fatigue See Slideshow [medicinenet.com]
One of the most common is Mycobacterium avium, which can cause symptoms similar to tuberculosis, such as cough, fever, fatigue, and weight loss. [nyulangone.org]
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 [medlineplus.gov]
- Asymptomatic
A patient in the early stage of TB disease may be asymptomatic or have nonspecific symptoms, such as anorexia, fatigue, weight loss, low-grade fever, night sweats, chest pain, shortness of breath, fever, and a productive cough with occasional hemoptysis [journals.lww.com]
As there are no direct tests for asymptomatic infection, it is inferred from the presence of TB immunoreactivity, determined by either a tuberculin skin test (TST) or an interferon gamma release assay (IGRA). [bmj.com]
Clinical features: Most infections in humans result in an asymptomatic latent infection. [en.vircell.com]
CLINICAL PRESENTATION • Pulmonary tuberculosis Primary complex Asymptomatic HEALS REACTIVATION Post-primary tuberculosis Acute pulmonary disease Systemic spread Aymptomatic /symptomatic LATER DISEASE Renal / CNS etc MILIARY TUBERCULOSIS Pulmonary meningitis [slideshare.net]
M. marinum infection in leopard frogs results in an asymptomatic infection, reminiscent of humans infected with latent M. tuberculosis. [doi.org]
Respiratoric
- Pneumonia
A serology study for HIV and IgM antibodies against Mycoplasma pneumoniae, Coxiella burnetii, Chlamydophila pneumoniae, Legionella pneumoniae and anti-Chlamydophila psittaci indirect immunofluorescence were negative. [archbronconeumol.org]
These include primary tuberculosis, and other causes of pneumonia including atypical bacterial pneumonia, viral pneumonia, fungal pneumonia and parasitic pneumonia. [cancertherapyadvisor.com]
Morikawa et al previously reported that centrilobular nodules (63.9%) were more common than consolidation (51.8%) and bronchiectasis (12.0%) in patients with MSSA pneumonia. [bmjopenrespres.bmj.com]
There are at least 33 mycobacterium species that are found in potable water and the most common environmental mycobacteria are: M. avium complex (MAC): M. avium and M. intracellulare ; associated with pneumonia and gastrointestinal disease M. chelonae [specialpathogenslab.com]
As the disease progresses, the damaged airways lose their ability to clear mucus normally, which invites recurring respiratory infections like bronchitis and pneumonia. [lung.org]
Gastrointestinal
- Loss of Appetite
Symptoms of TB in the lungs may include A bad cough that lasts 3 weeks or longer Weight loss Loss of appetite Coughing up blood or mucus Weakness or fatigue Fever Night sweats Skin tests, blood tests, x-rays, and other tests can tell if you have TB. [medlineplus.gov]
TB disease in the lungs may cause symptoms such as: A bad cough that lasts 3 weeks or longer Pain in the chest Coughing up blood or sputum (phlegm from deep inside the lungs) Other symptoms of TB disease are: Weakness or fatigue Weight loss No appetite [cdc.gov]
Active TB: A person with TB disease may experience a cough that produces phlegm, fatigue, a fever, chills, and a loss of appetite and weight. Symptoms typically worsen over time, but they can also spontaneously go away and return. [medicalnewstoday.com]
The first of the couple to be seen in chest clinic was a 69-year-old Caucasian lady who reported a 6-month history of weight loss, reduced appetite and a cough productive of 30 mL sputum twice daily. [erj.ersjournals.com]
Doctors don’t think to consider TB when a patient comes in complaining of loss of appetite or weight loss, or ongoing joint pain. But Dr. Borgia says TB is not a disease that should ever be forgotten about. [ctvnews.ca]
Skin
- Ulcer
These other conditions include tropical phagedenic ulcers, chronic lower leg ulcers due to arterial and venous insufficiency (often in the older and elderly populations), diabetic ulcers, cutaneous leishmaniasis, extensive ulcerative yaws and ulcers caused [who.int]
[…] about 7–14 days after infection through broken skin Over one to two months the nodule may break down to form a shallow ulcer that spreads rapidly and may involve up to 15% of the patient's skin surface Ulceration and necrosis are due to a toxin, mycolactone [dermnetnz.org]
In those treated with antibiotics alone, 83.0% experienced a reduction in induration size after 2 weeks, then 70.9% experienced an increase in induration size from the lowest point, and 71.7% experienced an increase in ulceration size. [ncbi.nlm.nih.gov]
Workup
On workup, it was confirmed that M. chelonae was the causative organism. He was given 8 weeks of antibiotics; however, there was worsening of the hip abscess on interval imaging. [ncbi.nlm.nih.gov]
After 4 days of incubation on the automated instrument, the two aerobic blood cultures bottles were positive and the patient was admitted to the hospital for further workup and therapy. [labmedicineblog.com]
(See Workup). In areas with a high prevalence of tuberculosis (TB), most cases of MAC infection are misdiagnosed and treated as TB. [3] In general, MAC infection is treated with 2 or 3 antimicrobials for at least 12 months. [emedicine.medscape.com]
X-Ray
- Multiple Pulmonary Nodules
In some individuals, the disease will present as a single or multiple small masses in the lungs (single or multiple pulmonary nodules) or as hypersensitivity pneumonitis, a condition characterized by inflammation of the lungs after being exposed to NTM [rarediseases.org]
Microbiology
- Mycobacterium Fortuitum
Some of those causing atypical mycobacterial infections include: Mycobacterium avium-intracellulare Mycobacterium kansasii Mycobacterium marinum Mycobacterium ulcerans Mycobacterium chelonae Mycobacterium fortuitum Mycobacterium abscessus Mycobacterium [dermnetnz.org]
The most similar sequences for 16S rRNA genes (98–99 % identity over 1444–1461 bp) were found in the Mycobacterium fortuitum group, Mycobacterium septicum and Mycobacterium farcinogenes. [microbiologyresearch.org]
[…] abscessus, Mycobacterium chelonae, Mycobacterium fortuitum, and Mycobacterium smegmatis, which are characterized by their rapid growth and lack of pigmentation.[16] Their ability to form biofilms under low nutrient conditions suggest that inadequate [eyewiki.aao.org]
In Klammern die Anzahl der enthaltenen Kategorien (K), Seiten (S), Dateien (D) ► Mycobacterium infections (2 K, 7 D) A ► Mycobacterium abscessus (1 D) ► Mycobacterium avium (6 D) B ► Mycobacterium bovis (8 D) F ► Mycobacterium fortuitum (1 [commons.wikimedia.org]
- Mycobacterium Kansasii
Some of those causing atypical mycobacterial infections include: Mycobacterium avium-intracellulare Mycobacterium kansasii Mycobacterium marinum Mycobacterium ulcerans Mycobacterium chelonae Mycobacterium fortuitum Mycobacterium abscessus Mycobacterium [dermnetnz.org]
The organisms produced a yellow pigment when exposed to light, and a nucleic acid probe for Mycobacterium kansasii was positive. Discussion Mycobacterium kansasii was discovered in 1953 by Buhler and Pollack. [labmedicineblog.com]
[…] cosmeticum closeup.jpg 700 × 463; 16 KB Mycobacterium kansasii growing on Lowenstein–Jensen medium.jpg 2.424 × 3.636; 5,73 MB Mycobacterium leprae circular genome.png 750 × 750; 23 KB Mycobacterium phylogenetic tree.png 954 × 665; 139 KB Mycobacterium [commons.wikimedia.org]
Treatment
There are no reports describing the therapeutic use of tigecycline for the treatment of chronic otitis media caused by M. abscessus. [ncbi.nlm.nih.gov]
Prepared bed land treatment is the specific bioremediation technology that is currently employed at this site. [books.google.it]
Prognosis
Prognosis depends on the form of the disease. In the upper lobe cavitary form, lung destruction is usually progressive and can lead to respiratory failure and death if successful treatment is not instituted. [radiopaedia.org]
Prognosis With appropriate treatment using surgical debridement and systemic antibiotics, the majority of patients with cutaneous atypical mycobacterium infectious have a relatively good prognosis with no sequelae.[15] Kheir et al reported a resolution [eyewiki.aao.org]
Prognosis With debridement and antibiotic therapy guided by susceptibility data, the prognosis is very good for most infections. [emedicine.medscape.com]
Etiology
[…] diseases; Infections; Medical management; Valvar diseases Publication type, MeSH terms, Substances Publication type Case Reports MeSH terms Anti-Bacterial Agents/administration & dosage Anti-Bacterial Agents/therapeutic use Diagnosis, Differential Dyspnea/etiology [ncbi.nlm.nih.gov]
Mycobacterium tuberculosis ( Mtb ) is the etiological agent of most cases of TB. Mtb is difficult to treat, in part, due to the presence of a sturdy hydrophobic barrier that prevents penetration of drugs through the cell wall. [pubs.rsc.org]
Mycobacterium tuberculosis is the etiological agent of tuberculosis (TB), the leading cause of death due to a single infectious agent, claiming 1.7 million lives in 2016. [cell.com]
Mycobacterium tuberculosis Mycobacterium tuberculosis is the etiologic agent of tuberculosis in humans. Humans are the only reservoir for the bacterium. Mycobacterium bovis is the etiologic agent of TB in cows and rarely in humans. [textbookofbacteriology.net]
Place specimen in a large infectious container (T146) and label as an etiologic agent/infectious substance. Necessary Information Specimen source and suspected organism identification are required. [microbiology.testcatalog.org]
Epidemiology
Since M. malmoense infection has rarely been reported in France, we also provide elements of the epidemiological investigation and a literature review of potential acquisition and transmission pathways of M. malmoense. [ncbi.nlm.nih.gov]
Moreover, an increasing number of experimental and epidemiological studies are showing that this genetic diversity also translates into important phenotypic variation. [books.google.it]
Pathophysiology
Animal models have been pivotal in understanding tuberculosis (TB) pathophysiology. [erj.ersjournals.com]
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test There are over 170 recognized species of mycobacteria and more than 100 Nocardia species. [mayocliniclabs.com]
Pathophysiology M. tuberculosis is transmitted airborne, i.e. by droplet infection. M. tuberculosis is a facultative intracellular parasite. When inhaled, the organism is taken up by alveolar macrophages. [radiopaedia.org]
A clear causation has not been established, however, and the pathophysiology remains largely unexplored. [7] MAI also causes cutaneous disease. [emedicine.medscape.com]
[…] predominance in the literature; however, some studies have found that women and patients greater than 50 years of age appear to be affected more, although this represents the most common demographic population for blepharoplasty and ptosis repair.[2][3] Pathophysiology [eyewiki.aao.org]
Prevention
Author information 1 Department of Clinical Laboratory, Kobe University Hospital, Kobe, Japan; Department of Infection Control and Prevention, Kobe University Hospital, Kobe, Japan. 2 Department of Infection Control and Prevention, Kobe University Hospital [ncbi.nlm.nih.gov]
Prevention For children 6 years or older with an HIV infection, pediatricians may prescribe preventive use of certain medicines such as azithromycin or clarithromycin to prevent M avium illnesses from developing. [healthychildren.org]
In E. coli and G. stearothermophilus, the α-helices adopt an “up” state where the α-helices enter the α 3 β 3 -domain and prevent the rotor from turning. [pnas.org]
Its cell wall prevents the fusion of the phagosome with a lysosome. Specifically, M. tuberculosis blocks the bridging molecule, early endosomal autoantigen 1 (EEA1); however, this blockade does not prevent fusion of vesicles filled with nutrients. [microbiologyinpictures.com]
You can prevent MAC by starting antiretroviral therapy (ART) early and not allow your CD4 count to get low. [webmd.com]