Disseminated Mycobacterium avium intracellulare infection in an "immunocompetent" host.
We are reporting the case of a 37-year-old immunocompetent patient who presented with anterior chest wall swelling, jaw swelling and pain, back pain, night sweats, and unintentional weight loss. He underwent mediastinoscopy with lymph node biopsy, which revealed caseating and noncaseating granuloma and special stains positive for acid-fast bacteria. Cultures from two different sites surprisingly grew Mycobacterium avium intercellulare (MAI), and a diagnosis of disseminated MAI was made. He was switched from antituberculous treatment to MAI treatment.
Division of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, NY, USA. kennedyeneh@hotmail.com
Kennedy K
KK
Eneh
Mehjabin
M
Zahir
Maximo E
ME
Mora
Frances
F
Schmidt
Danilo
D
Enriquez
Fadi
F
Hammoudeh
Narayan
N
Neupane
Joseph
J
Quist
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence / Q000276:immunology; D008297:Male; D015269:Mycobacterium avium Complex / Q000187:drug effects; D015270:Mycobacterium avium-intracellulare Infection / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000382:microbiology*
D000995:Antitubercular Agents