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Mycobacterium avium intracellulaire

Introduction

Synonyms and key words: MAI

Overview

Overview

Mycobacterium avium intracellulare is an atypical mycobacterial infection which can occur in the later stages of AIDS. It can also affect women who do not have AIDS and usually first presents as a persistent cough.

Pathophysiology

Pathophysiology

MAI is a saprotrophic organism that is present in soil and water, entry is usually via the GI tract but also can be via the lungs.

Clinical manifestations

Clinical manifestations

It causes fevers, diarrhoea, malabsorption and anorexia and it can disseminate to the bone marrow.

Treatment

Treatment

Therapy for MAI presents a challenge as it is typically resistant to standard mycobacterial therapies. It is normally treated with a series of 3 antibiotics for a period of at least 6 months.

References

References

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