Nontuberculous Mycobacteria, Zambia

Clinical relevance of nontuberculous mycobacteria (NTM) isolated from 180 chronically ill patients and 385 healthy controls in Zambia was evaluated to examine the contribution of these isolates to tuberculosis (TB)–like disease. The proportion of NTM-positive sputum samples was significantly higher...

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Main Authors: Patricia C.A.M. Buijtels, Marianne A.B. van der Sande, Cas S. de Graaff, Shelagh Parkinson, Henri A. Verbrugh, Pieter L.C. Petit, Dick van Soolingen
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2009-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/15/2/08-0006_article
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author Patricia C.A.M. Buijtels
Marianne A.B. van der Sande
Cas S. de Graaff
Shelagh Parkinson
Henri A. Verbrugh
Pieter L.C. Petit
Dick van Soolingen
author_facet Patricia C.A.M. Buijtels
Marianne A.B. van der Sande
Cas S. de Graaff
Shelagh Parkinson
Henri A. Verbrugh
Pieter L.C. Petit
Dick van Soolingen
author_sort Patricia C.A.M. Buijtels
collection DOAJ
description Clinical relevance of nontuberculous mycobacteria (NTM) isolated from 180 chronically ill patients and 385 healthy controls in Zambia was evaluated to examine the contribution of these isolates to tuberculosis (TB)–like disease. The proportion of NTM-positive sputum samples was significantly higher in the patient group than in controls; 11% and 6%, respectively (p<0.05). NTM-associated lung disease was diagnosed for 1 patient, and a probable diagnosis was made for 3 patients. NTM-positive patients and controls were more likely to report vomiting and diarrhea and were more frequently underweight than the NTM-negative patients and controls. Chest radiographs of NTM-positive patients showed deviations consistent with TB more frequently than those of controls. The most frequently isolated NTM was Mycobacterium avium complex. Multiple, not previously identified mycobacteria (55 of 171 NTM) were isolated from both groups. NTM probably play an important role in the etiology of TB-like diseases in Zambia.
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spelling doaj.art-9bdd15f1b9d94165bee603ab397386652022-12-21T19:35:32ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592009-02-0115224224910.3201/eid1502.080006Nontuberculous Mycobacteria, ZambiaPatricia C.A.M. BuijtelsMarianne A.B. van der SandeCas S. de GraaffShelagh ParkinsonHenri A. VerbrughPieter L.C. PetitDick van SoolingenClinical relevance of nontuberculous mycobacteria (NTM) isolated from 180 chronically ill patients and 385 healthy controls in Zambia was evaluated to examine the contribution of these isolates to tuberculosis (TB)–like disease. The proportion of NTM-positive sputum samples was significantly higher in the patient group than in controls; 11% and 6%, respectively (p<0.05). NTM-associated lung disease was diagnosed for 1 patient, and a probable diagnosis was made for 3 patients. NTM-positive patients and controls were more likely to report vomiting and diarrhea and were more frequently underweight than the NTM-negative patients and controls. Chest radiographs of NTM-positive patients showed deviations consistent with TB more frequently than those of controls. The most frequently isolated NTM was Mycobacterium avium complex. Multiple, not previously identified mycobacteria (55 of 171 NTM) were isolated from both groups. NTM probably play an important role in the etiology of TB-like diseases in Zambia.https://wwwnc.cdc.gov/eid/article/15/2/08-0006_articleTuberculosisnontuberculous mycobacteriaclinical relevancediagnosisAfricaZambia
spellingShingle Patricia C.A.M. Buijtels
Marianne A.B. van der Sande
Cas S. de Graaff
Shelagh Parkinson
Henri A. Verbrugh
Pieter L.C. Petit
Dick van Soolingen
Nontuberculous Mycobacteria, Zambia
Emerging Infectious Diseases
Tuberculosis
nontuberculous mycobacteria
clinical relevance
diagnosis
Africa
Zambia
title Nontuberculous Mycobacteria, Zambia
title_full Nontuberculous Mycobacteria, Zambia
title_fullStr Nontuberculous Mycobacteria, Zambia
title_full_unstemmed Nontuberculous Mycobacteria, Zambia
title_short Nontuberculous Mycobacteria, Zambia
title_sort nontuberculous mycobacteria zambia
topic Tuberculosis
nontuberculous mycobacteria
clinical relevance
diagnosis
Africa
Zambia
url https://wwwnc.cdc.gov/eid/article/15/2/08-0006_article
work_keys_str_mv AT patriciacambuijtels nontuberculousmycobacteriazambia
AT marianneabvandersande nontuberculousmycobacteriazambia
AT cassdegraaff nontuberculousmycobacteriazambia
AT shelaghparkinson nontuberculousmycobacteriazambia
AT henriaverbrugh nontuberculousmycobacteriazambia
AT pieterlcpetit nontuberculousmycobacteriazambia
AT dickvansoolingen nontuberculousmycobacteriazambia