Mycobacterium avium complex infection: Difference between revisions

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'''''Related Key Words and Synonyms:'''''
'''''Related Key Words and Synonyms:'''''
== Risk Factors ==
HIV-infected persons. Rarely in children or nonimmuno-compromised persons.


== Pathophysiology & Etiology==
== Pathophysiology & Etiology==

Revision as of 14:01, 1 October 2012

Mycobacterium avium complex infection

Mycobacterium avium complex infection Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Related Key Words and Synonyms:

Pathophysiology & Etiology

Etiologic Agent:

Mycobacterium avium complex (comprising M. avium and M.intracellulare).

Transmission:

Although the mode of transmission is unclear, MAC is most likely environmentally acquired.

Diagnosis

Diagnosis can be achieved through blood cultures, or cultures of other bodily fluids such as lymphatic dranage or stool. Bone marrow culture can often yield an earlier diagnosis, but is usually avoided as an initial diagnostic step because of its invasiveness.

History and Symptoms

Several different syndromes are caused by Mycobacterium avium complex (MAC). Disseminated infections are usually associated with HIV infection. Less commonly, pulmonary disease in nonimmunocompromised persons is a result of infection with MAC. In children, the most common syndrome is cervical lymphadenitis.

In HIV infected persons, manifestations include night sweats, weight loss, abdominal pain, fatigue, diarrhea, and anemia.

Risk Stratification and Prognosis

Incidence is decreasing because of changes in treatment for HIV-infected patients; however, antimicrobial resistance may be increasing.

Treatment

Pharmacotherapy

Treatment involves a combination of anti-tuberculosis antibiotics. These include:

References

  1. http://www.cdc.gov/ncidod/dbmd/diseaseinfo/mycobacteriumavium_t.htm
  2. http://en.wikipedia.org/wiki/Mycobacterium_avium_complex

Acknowledgements

The content on this page was first contributed by: C. Michael Gibson, M.S., M.D. Template:SIB

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