TABLE 1.
Analysis of specimens positive by the Mycobacterium genus PCR, where sequence analysis of the PCR product resulted in the identification of NTM (n = 47)
Specimena | OD660 by: |
Identification by 16S rRNA gene sequenceb | Result by: |
Interpretation | ||
---|---|---|---|---|---|---|
Genus assay | M. tuberculosis assay | Smear | Culturec | |||
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | M. abscessus | True positive |
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | M. chelonae complex | True positive |
Respiratory | >4.00 | <0.35 | M. gordonae | Positive | M. gordonae | True positive |
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | M. abscessus | True positive |
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | M. abscessus | True positive |
Respiratory | >4.00 | <0.35 | M. fortuitum | Positive | M. fortuitum | True positive |
BAL | >4.00 | <0.35 | M. intracellulare | Positive | M. intracellulare | True positive |
Respiratory | >4.00 | <0.35 | M. intracellulare | Positive | M. intracellulare | True positive |
Respiratory | 3.95 | <0.35 | M. chelonae complex | Positive | M. abscessus | True positive |
Respiratory | 3.78 | <0.35 | M. chelonae complex | Positive | M. abscessus | True positive |
Wound | 3.76 | <0.35 | M. intracellulare | Positive | M. intracellulare | True positive |
Respiratory | 3.64 | <0.35 | M. gordonae | Positive | M. gordonae | True positive |
Wound | 3.64 | <0.35 | M. intracellulare | Positive | M. intracellulare | True positive |
Respiratory | 3.47 | <0.35 | M. avium | Positive | M. avium | True positive |
Respiratory | 3.46 | <0.35 | M. kansasii/gastri | Positive | M. kansasii | True positive |
Respiratory | 3.25 | <0.35 | M. avium | Positive | M. avium | True positive |
Respiratory | 3.01 | <0.35 | M. avium | Positive | M. avium | True positive |
Respiratory | 2.95 | <0.35 | M. intracellulare | Positive | M. intracellulare | True positive |
BAL | 2.27 | <0.35 | M. kansasii/gastri | Positive | M. kansasii | True positive |
Respiratory | >4.00 | <0.35 | M. intracellulare | Negative | M. intracellulare | True positive |
Respiratory | >4.00 | <0.35 | M. kansasii/gastri | Negative | M. kansasii | True positive |
Respiratory | 3.95 | <0.35 | M. avium | Negative | M. avium | True positive |
Respiratory | 3.95 | <0.35 | M. avium | Negative | M. avium | True positive |
Respiratory | 3.78 | <0.35 | M. chelonae complex | Negative | M. abscessus | True positive |
Respiratory | 3.07 | <0.35 | M. gordonae | Negative | M. gordonae | True positive |
Respiratory | 0.53 | <0.35 | M. chelonae complex | Negative | M. bolletii | True positive |
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | Negative | True positive |
Respiratory | >4.00 | <0.35 | M. chelonae complex | Positive | Negative | True positive |
Respiratory | 3.47 | <0.35 | M. chelonae complex | Negative | Negative | True positived |
BAL | 2.76 | <0.35 | M. celatum | Negative | Negative | True positived |
Respiratory | 2.62 | <0.35 | M. gordonae | Negative | Negative | True positived |
Respiratory | 2.35 | <0.35 | M. intracellulare | Not done | Negative | True positived |
Respiratory | 1.65 | <0.35 | M. avium | Not done | Negative | True positived |
Respiratory | 3.65 | <0.35 | M. aubagnense | Negative | Negative | Unknown significance |
Respiratory | 3.34 | <0.35 | M. avium | Negative | Negative | Unknown significance |
Respiratory | 3.21 | <0.35 | Mycobacterium sp. | Negative | Negative | Unknown significance |
Respiratory | 2.82 | <0.35 | M. frederiksbergense | Negative | Negative | Unknown significance |
Respiratory | 2.73 | <0.35 | Mycobacterium sp. | Negative | Negative | Unknown significance |
Respiratory | 2.17 | <0.35 | M. kansasii/gastri | Negative | Negative | Unknown significance |
Respiratory | 0.89 | <0.35 | M. mucogenicum | Negative | Negative | Unknown significance |
Respiratory | 0.77 | <0.35 | M. fortuitum | Negative | Negative | Unknown significance |
Respiratory | 0.68 | <0.35 | Mycobacterium sp. | Negative | Negative | Unknown significance |
Respiratory | 0.54 | <0.35 | Mycobacterium sp. | Negative | Negative | Unknown significance |
Respiratory | 0.52 | <0.35 | M. chelonae complex | Negative | Negative | Unknown significance |
Respiratory | 0.52 | <0.35 | M. frederiksbergense | Negative | Negative | Unknown significance |
BAL | 0.51 | <0.35 | M. terrae | Negative | Negative | Unknown significance |
CSF | 0.50 | <0.35 | Mycobacterium sp. | Not done | Not done | Unknown significance |
BAL, bronchoalveolar lavage; CSF, cerebrospinal fluid.
Sequencing was performed on PCR products obtained by amplification of nucleic acids extracted from the clinical sample.
Identification by 16S rRNA sequence analysis, followed when necessary by sequencing and homology analysis of rpoB (in the case of M. chelonae complex) or hsp65 (in the case of M. kansasii/gastri).
A corresponding NTM species was recovered by culture in another patient sample or samples.