Mycobacterium kansasii infections in Western Australia (1962-1987).
The records of 81 patients with isolations of Mycobacterium kansasii in Western Australia over 26 years have been reviewed. Thirty-nine individuals with 40 episodes of infection were considered to have disease due to M. kansasii: 36 in the lungs (90%), two in the joints (5%), and one each in the skin (2.5%) and the lymph nodes (2.5%). The average incidence rate per 100,000 per year was 0.14 for the state with the highest in the Geraldton Mid-west region (0.57). The male:female ratio was 4:1 and the mean age 50 years (SD 14.5). For pulmonary disease the male:female ratio was 3.5:1, the mean age 53 years (SD 11), 42% being miners or ex-miners and 91% smokers or ex-smokers. Almost 97% of those infected were Caucasian and none were Aboriginal. Drug treatment was highly successful, particularly with the rifampicin/ethambutol combination, where 12 months appeared to be adequate. There are differences in the demography of the patients having pulmonary disease compared to the 42 with insignificant isolations.
Pang
S C
SC
Chest Service, Health Department of Western Australia, Perth.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*; D014904:Western Australia / Q000453:epidemiology
D000995:Antitubercular Agents