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Mycobacterium avium complex infection

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

Overview

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Historical Perspective

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Classification

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Pathophysiology

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

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Overview

Pathophysiology

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.

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Causes

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Differentiating Mycobacterium avium complex infection from other Diseases

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Epidemiology and Demographics

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

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Overview

Epidemiology and Demographics

Not reportable. Population-based data available for Houston and Atlanta metropolitan areas suggest a rate of 1/100,000/year. Incidence is decreasing among HIV- infected patients as a result of new treatment modalities e.g., combination therapy with nucleoside reverse transcriptase inhibitors and protease inhibitors, as well as antimycobacterial prophylaxis. Incidence is decreasing because of changes in treatment for HIV-infected patients; however, antimicrobial resistance may be increasing.

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Risk Factors

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

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Risk Factors

HIV-infected persons. Rarely in children or nonimmuno-compromised persons.

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Natural History, Complications and Prognosis

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Diagnosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case Studies

Case #1

Acknowledgements

Acknowledgements

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