title: Disseminated Mycobacterium avium complex infection in an immunocompetent pregnant woman.
abstract: BACKGROUND
  Disseminated mycobacterium avium complex (MAC) occurs mainly in immunocompromised hosts, which is associated with abnormal cellular immunity.
  
  
  METHODS
  A 26-year-old pregnant woman presented with fever and general weakness. Miliary lung nodules were noted on chest X-ray. Under the impression of miliary tuberculosis, anti-tuberculosis medication was administered. However, the patient was not improved. Further work-up demonstrated MAC in the sputum and placenta. The patient was treated successfully with clarithromycin-based combination regimen.
  
  
  CONCLUSIONS
  This appears to be the first case of disseminated MAC in an otherwise healthy pregnant woman. Clinicians should be alert for the diagnosis of MAC infection in diverse clinical conditions.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. infection@medimail.co.kr
authors.forename: Joon Young
authors.initials: JY
authors.lastname: Song
authors.forename: Cheong Won
authors.initials: CW
authors.lastname: Park
authors.forename: Sae Yoon
authors.initials: SY
authors.lastname: Kee
authors.forename: Won Seok
authors.initials: WS
authors.lastname: Choi
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Kang
authors.forename: Jang Wook
authors.initials: JW
authors.lastname: Sohn
authors.forename: Woo Joo
authors.initials: WJ
authors.lastname: Kim
authors.forename: Min Ja
authors.initials: MJ
authors.lastname: Kim
authors.forename: Hee Jin
authors.initials: HJ
authors.lastname: Cheong
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007121:Immunocompetence / Q000276:immunology*; D008171:Lung Diseases / Q000382:microbiology / Q000473:pathology; D015270:Mycobacterium avium-intracellulare Infection / Q000175:diagnosis / Q000188:drug therapy; D010920:Placenta / Q000382:microbiology; D011241:Prednisone / Q000627:therapeutic use; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000276:immunology* / Q000382:microbiology*
chemical_list: D000893:Anti-Inflammatory Agents; D000995:Antitubercular Agents; D011241:Prednisone