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Published in: Current Infectious Disease Reports 3/2010

01-05-2010

Pulmonary Nontuberculous Mycobacterial Disease: New Insights into Risk Factors for Susceptibility, Epidemiology, and Approaches to Management in Immunocompetent and Immunocompromised Patients

Authors: Paul Saleeb, Kenneth N. Olivier

Published in: Current Infectious Disease Reports | Issue 3/2010

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Abstract

Nontuberculous mycobacteria (NTM) are ubiquitous in the environment and cause a wide range of diseases in humans. Pulmonary involvement, the most common disease manifestation of NTM infection, is being increasingly encountered in clinical settings. In addition, specific phenotypic and genetic characteristics of persons predisposed to contract pulmonary NTM disease are now beginning to be recognized. Prior to treatment, patients should meet clinical and microbiologic criteria for NTM disease. Treatment involves prolonged courses of antibiotics in various combination regimens that are often discontinued because of serious side effects. In some cases, complete cure of pulmonary disease is difficult to achieve. Rather, clinical improvement may be a more feasible goal. Surgical treatment is warranted for select patients.
Literature
1.
go back to reference •• Griffith DC, Aksamit T, Brown-Elliott BA, et al.: An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med 2007, 175:367–416. This article provides the most up-to-date official guidelines for the diagnosis and management of pulmonary infections caused by nontuberculous mycobacteria endorsed by the American Thoracic Society and the Infectious Diseases Society of America. •• Griffith DC, Aksamit T, Brown-Elliott BA, et al.: An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med 2007, 175:367–416. This article provides the most up-to-date official guidelines for the diagnosis and management of pulmonary infections caused by nontuberculous mycobacteria endorsed by the American Thoracic Society and the Infectious Diseases Society of America.
2.
go back to reference Marras TK, Chedore P, Ying AM, et al.: Isolation prevalence of pulmonary non-tuberculous mycobacteria in Ontario, 1997–2003. Thorax 2007, 62:661–666.CrossRefPubMed Marras TK, Chedore P, Ying AM, et al.: Isolation prevalence of pulmonary non-tuberculous mycobacteria in Ontario, 1997–2003. Thorax 2007, 62:661–666.CrossRefPubMed
3.
go back to reference Khan K, Wang J, Marras TK: Nontuberculous mycobacterial sensitization in the United States: national trends over three decades. Am J Respir Crit Care Med 2007, 176:306–313.CrossRefPubMed Khan K, Wang J, Marras TK: Nontuberculous mycobacterial sensitization in the United States: national trends over three decades. Am J Respir Crit Care Med 2007, 176:306–313.CrossRefPubMed
4.
go back to reference Billinger ME, Olivier KN, Viboud C, et al.: Nontuberculous mycobacteria-associated lung disease in hospitalized persons, United States, 1998–2005. Emerging Infect Dis 2009, 15:1562–1569.PubMed Billinger ME, Olivier KN, Viboud C, et al.: Nontuberculous mycobacteria-associated lung disease in hospitalized persons, United States, 1998–2005. Emerging Infect Dis 2009, 15:1562–1569.PubMed
5.
go back to reference Edwards LB, Acquaviva FA, Livesay VT, et al.: An atlas of sensitivity to tuberculin, PPD-B, and histoplasmin in the United States. Am Rev Respir Dis 1969, 99(Suppl):1–132. Edwards LB, Acquaviva FA, Livesay VT, et al.: An atlas of sensitivity to tuberculin, PPD-B, and histoplasmin in the United States. Am Rev Respir Dis 1969, 99(Suppl):1–132.
6.
go back to reference Kirschner R, Parker B, Falkinham J: Epidemiology of infection by nontuberculous mycobacteria: Mycobacterium avium, Mycobacterium intracellulare, and Mycobacterium scrofulaceum in acid, brown-water swamps of the Southeastern United States and their association with environmental variables. Am Rev Respir Dis 1992, 145:271–275.PubMed Kirschner R, Parker B, Falkinham J: Epidemiology of infection by nontuberculous mycobacteria: Mycobacterium avium, Mycobacterium intracellulare, and Mycobacterium scrofulaceum in acid, brown-water swamps of the Southeastern United States and their association with environmental variables. Am Rev Respir Dis 1992, 145:271–275.PubMed
7.
go back to reference Aksamit TR: Mycobacterium avium complex pulmonary disease in patients with pre-existing lung disease. Clin Chest Med 2002, 23:643–653.CrossRefPubMed Aksamit TR: Mycobacterium avium complex pulmonary disease in patients with pre-existing lung disease. Clin Chest Med 2002, 23:643–653.CrossRefPubMed
8.
go back to reference Noone PG, Leigh MW, Sannuti A, et al.: Primary ciliary dyskinesia: diagnostic and phenotypic features. Am J Respir Crit Care Med 2004, 169:459–467.CrossRefPubMed Noone PG, Leigh MW, Sannuti A, et al.: Primary ciliary dyskinesia: diagnostic and phenotypic features. Am J Respir Crit Care Med 2004, 169:459–467.CrossRefPubMed
9.
go back to reference Olivier KN, Weber DJ, Wallace RJ, et al.: Nontuberculous mycobacteria: 1. Multicenter prevalence study in cystic fibrosis. Am J Respir Crit Care Med 2003, 167:828–834.CrossRefPubMed Olivier KN, Weber DJ, Wallace RJ, et al.: Nontuberculous mycobacteria: 1. Multicenter prevalence study in cystic fibrosis. Am J Respir Crit Care Med 2003, 167:828–834.CrossRefPubMed
10.
go back to reference Ebert DL, Olivier KN: Nontuberculous mycobacteria in the setting of cystic fibrosis. Clin Chest Med 2002, 23:655–663.CrossRefPubMed Ebert DL, Olivier KN: Nontuberculous mycobacteria in the setting of cystic fibrosis. Clin Chest Med 2002, 23:655–663.CrossRefPubMed
11.
go back to reference Melia E, Freeman AF, Shea YR, et al.: Pulmonary nontuberculous mycobacterial infections in hyper-IgE syndrome. J Allergy Clin Immunol 2009, 124:617–618.CrossRefPubMed Melia E, Freeman AF, Shea YR, et al.: Pulmonary nontuberculous mycobacterial infections in hyper-IgE syndrome. J Allergy Clin Immunol 2009, 124:617–618.CrossRefPubMed
12.
go back to reference Reich JM, Johnson RE: Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern: the Lady Windermere syndrome. Chest 1992, 101:1605–1609.CrossRefPubMed Reich JM, Johnson RE: Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern: the Lady Windermere syndrome. Chest 1992, 101:1605–1609.CrossRefPubMed
13.
go back to reference Dhillon SS, Watanakunakorn C: Lady Windermere syndrome: middle lobe bronchiectasis and Mycobacterium avium complex infection due to voluntary cough suppression. Clin Infect Dis 2000, 30:572–575.CrossRefPubMed Dhillon SS, Watanakunakorn C: Lady Windermere syndrome: middle lobe bronchiectasis and Mycobacterium avium complex infection due to voluntary cough suppression. Clin Infect Dis 2000, 30:572–575.CrossRefPubMed
14.
go back to reference • Kim RD, Greenberg DE, Ehrmantraut ME, et al.: Pulmonary nontuberculous mycobacterial disease: prospective study of a distinct preexisting syndrome. Am J Respir Crit Care Med 2008, 178:1066–1074. This article provides an excellent study of the phenotypic characteristics of women without underlying pulmonary disease who develop pulmonary nontuberculous mycobacterial disease. • Kim RD, Greenberg DE, Ehrmantraut ME, et al.: Pulmonary nontuberculous mycobacterial disease: prospective study of a distinct preexisting syndrome. Am J Respir Crit Care Med 2008, 178:1066–1074. This article provides an excellent study of the phenotypic characteristics of women without underlying pulmonary disease who develop pulmonary nontuberculous mycobacterial disease.
15.
go back to reference Colombo RE, Hill SC, Claypool RJ, et al.: Familial clustering of pulmonary nontuberculous mycobacterial disease. Chest 2009, Epub ahead of print.. Colombo RE, Hill SC, Claypool RJ, et al.: Familial clustering of pulmonary nontuberculous mycobacterial disease. Chest 2009, Epub ahead of print..
16.
go back to reference Freeman AF, Olivier KN, Rubio TT, et al.: Intrathoracic nontuberculous mycobacterial infections in otherwise healthy children. Pediatr Pulmonol 2009, 44:1051–1056.CrossRefPubMed Freeman AF, Olivier KN, Rubio TT, et al.: Intrathoracic nontuberculous mycobacterial infections in otherwise healthy children. Pediatr Pulmonol 2009, 44:1051–1056.CrossRefPubMed
17.
go back to reference •• Colombo RE, Olivier KN: Diagnosis and treatment of infections caused by rapidly growing mycobacteria. Semin Respir Crit Care Med 2008, 29:577–588. This article provides a review of the spectrum of disease and management of infection due to rapidly growing mycobacteria, especially Mycobacterium abscessus. •• Colombo RE, Olivier KN: Diagnosis and treatment of infections caused by rapidly growing mycobacteria. Semin Respir Crit Care Med 2008, 29:577–588. This article provides a review of the spectrum of disease and management of infection due to rapidly growing mycobacteria, especially Mycobacterium abscessus.
18.
go back to reference Bange FC, Bottger EC: Improved decontamination method for recovering mycobacteria from patients with cystic fibrosis. Eur J Clin Microbiol Infect Dis 2002, 21:546–548.CrossRefPubMed Bange FC, Bottger EC: Improved decontamination method for recovering mycobacteria from patients with cystic fibrosis. Eur J Clin Microbiol Infect Dis 2002, 21:546–548.CrossRefPubMed
19.
go back to reference Nishimura T, Hasegawa N, Fujita Y, et al.: Serodiagnostic contributions of antibody titers against mycobacterial lipid antigens in Mycobacterium avium complex pulmonary disease. Clin Infect Dis 2009, 49:529–535.CrossRefPubMed Nishimura T, Hasegawa N, Fujita Y, et al.: Serodiagnostic contributions of antibody titers against mycobacterial lipid antigens in Mycobacterium avium complex pulmonary disease. Clin Infect Dis 2009, 49:529–535.CrossRefPubMed
20.
go back to reference Ballarino GB, Olivier KN, Claypool RJ, et al.: Pulmonary nontuberculous mycobacterial infections: antibiotic treatment and associated costs. Respir Med 2009, 103:1448–1455.CrossRefPubMed Ballarino GB, Olivier KN, Claypool RJ, et al.: Pulmonary nontuberculous mycobacterial infections: antibiotic treatment and associated costs. Respir Med 2009, 103:1448–1455.CrossRefPubMed
21.
go back to reference Wallace RJ, Zhang Y, Brown BA, et al.: Polyclonal Mycobacterium avium complex infections in patients with nodular bronchiectasis. Am J Respir Crit Care Med 1998, 158:1235–1244.PubMed Wallace RJ, Zhang Y, Brown BA, et al.: Polyclonal Mycobacterium avium complex infections in patients with nodular bronchiectasis. Am J Respir Crit Care Med 1998, 158:1235–1244.PubMed
22.
go back to reference Research Committee of the British Thoracic Society: Pulmonary disease caused by Mycobacterium avium-intracellulare in HIV-negative patients: five-year follow-up of patients receiving standardized treatment. Int J Tuberc Lung Dis 2002, 6:628–634. Research Committee of the British Thoracic Society: Pulmonary disease caused by Mycobacterium avium-intracellulare in HIV-negative patients: five-year follow-up of patients receiving standardized treatment. Int J Tuberc Lung Dis 2002, 6:628–634.
23.
go back to reference Wallace RJ Jr, Brown BA, Griffith DE, et al.: Initial clarithromycin monotherapy for Mycobacterium avium-intracellulare complex lung disease. Am J Respir Crit Care Med 1994, 149:1335–1341.PubMed Wallace RJ Jr, Brown BA, Griffith DE, et al.: Initial clarithromycin monotherapy for Mycobacterium avium-intracellulare complex lung disease. Am J Respir Crit Care Med 1994, 149:1335–1341.PubMed
24.
go back to reference Griffith DE, Brown BA, Girard WM, et al.: Azithromycin activity against Mycobacterium avium complex lung disease in patients who were not infected with human immunodeficiency virus. Clin Infect Dis 1996, 23:983–989.PubMed Griffith DE, Brown BA, Girard WM, et al.: Azithromycin activity against Mycobacterium avium complex lung disease in patients who were not infected with human immunodeficiency virus. Clin Infect Dis 1996, 23:983–989.PubMed
25.
go back to reference Griffith DE, Brown-Elliott BA, Longsjoen B, et al.: Clinical and molecular analysis of macrolide resistance in Mycobacterium avium complex lung disease. Am J Respir Crit Care Med 2006, 174:928–934.CrossRefPubMed Griffith DE, Brown-Elliott BA, Longsjoen B, et al.: Clinical and molecular analysis of macrolide resistance in Mycobacterium avium complex lung disease. Am J Respir Crit Care Med 2006, 174:928–934.CrossRefPubMed
26.
go back to reference Lam PK, Griffith DE, Aksamit TR, et al.: Factors related to response to intermittent treatment of Mycobacterium avium complex lung disease. Am J Respir Crit Care Med 2006, 173:128–1289.CrossRef Lam PK, Griffith DE, Aksamit TR, et al.: Factors related to response to intermittent treatment of Mycobacterium avium complex lung disease. Am J Respir Crit Care Med 2006, 173:128–1289.CrossRef
27.
go back to reference Pezzia W, Raleigh JW, Bailey MC, et al.: Treatment of pulmonary disease due to Mycobacterium kansasii: recent experience with rifampin. Rev Infect Dis 1981, 3:1035–1039.PubMed Pezzia W, Raleigh JW, Bailey MC, et al.: Treatment of pulmonary disease due to Mycobacterium kansasii: recent experience with rifampin. Rev Infect Dis 1981, 3:1035–1039.PubMed
28.
go back to reference Banks J, Hunter AM, Campbell IA, et al.: Pulmonary infection with Mycobacterium kansasii in Wales, 1970–79: review of treatment and response. Thorax 1983, 38:271–274.CrossRefPubMed Banks J, Hunter AM, Campbell IA, et al.: Pulmonary infection with Mycobacterium kansasii in Wales, 1970–79: review of treatment and response. Thorax 1983, 38:271–274.CrossRefPubMed
29.
go back to reference Nash KA, Brown-Elliott BA, Wallace RJ: A novel gene, erm(41), confers inducible macrolide resistance to clinical isolates of Mycobacterium abscessus but is absent from Mycobacterium chelonae. Antimicrob Agents Chemother 2009, 53:1367–1376.CrossRefPubMed Nash KA, Brown-Elliott BA, Wallace RJ: A novel gene, erm(41), confers inducible macrolide resistance to clinical isolates of Mycobacterium abscessus but is absent from Mycobacterium chelonae. Antimicrob Agents Chemother 2009, 53:1367–1376.CrossRefPubMed
30.
go back to reference Jeon K, Jung Kwon O, Lee NY, et al.: Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients. Am J Respir Crit Care Med 2009, 180:896–902. Jeon K, Jung Kwon O, Lee NY, et al.: Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients. Am J Respir Crit Care Med 2009, 180:896–902.
31.
go back to reference Brown-Elliott BA, Crist CJ, Mann LB, et al.: In vitro activity of linezolid against slowly growing nontuberculous mycobacteria. Antimicrob Agents Chemother 2003, 47:1736–1738.CrossRefPubMed Brown-Elliott BA, Crist CJ, Mann LB, et al.: In vitro activity of linezolid against slowly growing nontuberculous mycobacteria. Antimicrob Agents Chemother 2003, 47:1736–1738.CrossRefPubMed
32.
go back to reference Cavusoglu C, Soyler I, Akinci P: Activities of linezolid against nontuberculous mycobacteria. New Microbiol 2007, 30:411–414.PubMed Cavusoglu C, Soyler I, Akinci P: Activities of linezolid against nontuberculous mycobacteria. New Microbiol 2007, 30:411–414.PubMed
33.
go back to reference Chalermskulrat W, Sood N, Neuringer IP, et al.: Non-tuberculous mycobacteria in end stage cystic fibrosis: implications for lung transplantation. Thorax 2006, 61:507–513.CrossRefPubMed Chalermskulrat W, Sood N, Neuringer IP, et al.: Non-tuberculous mycobacteria in end stage cystic fibrosis: implications for lung transplantation. Thorax 2006, 61:507–513.CrossRefPubMed
34.
go back to reference Zaidi S, Elidemir O, Heinle JS, et al.: Mycobacterium abscessus in cystic fibrosis lung transplant recipients: report of 2 cases and risk for recurrence. Transpl Infect Dis 2009, 11:243–248.CrossRefPubMed Zaidi S, Elidemir O, Heinle JS, et al.: Mycobacterium abscessus in cystic fibrosis lung transplant recipients: report of 2 cases and risk for recurrence. Transpl Infect Dis 2009, 11:243–248.CrossRefPubMed
Metadata
Title
Pulmonary Nontuberculous Mycobacterial Disease: New Insights into Risk Factors for Susceptibility, Epidemiology, and Approaches to Management in Immunocompetent and Immunocompromised Patients
Authors
Paul Saleeb
Kenneth N. Olivier
Publication date
01-05-2010
Publisher
Current Science Inc.
Published in
Current Infectious Disease Reports / Issue 3/2010
Print ISSN: 1523-3847
Electronic ISSN: 1534-3146
DOI
https://doi.org/10.1007/s11908-010-0103-6

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