title: Spinal infection caused by Mycobacterium avium complex in a patient with no acquired immune deficiency syndrome: a case report.
abstract: Spinal infection caused by Mycobacterium avium complex (MAC) is rarely seen in people who do not have acquired immune deficiency syndrome. We report such a case in a 60-year-old man who underwent anterior spinal fusion after treatment with antibiotics had failed. The presentation of MAC spinal infection is different from that seen in MAC lung infection, with more than half presenting with urgent or semi-urgent neurological deficits. Younger patients who are not immunocompromised can also be infected. It should be considered as a differential diagnosis in patients with tuberculosis of the spine. The use of antibiotics should be based on the cultured organism's sensitivity results. Indications for surgery are progressive bony destruction, abscess formation, and neurological compression.
authors.affiliation: Division of Spine Surgery, Department of Orthopaedics and Traumatology, United Christian Hospital, Kwun Tong, Hong Kong. nmrwong@yahoo.com.hk
authors.forename: N M
authors.initials: NM
authors.lastname: Wong
authors.forename: L K
authors.initials: LK
authors.lastname: Sun
authors.forename: P Y
authors.initials: PY
authors.lastname: Lau
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D015269:Mycobacterium avium Complex; D015270:Mycobacterium avium-intracellulare Infection / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013123:Spinal Fusion; D013166:Spondylitis / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery