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. 2020 Sep;152(3):185–226. doi: 10.4103/ijmr.IJMR_902_20

Table II.

Environmental niches of non-tuberculous mycobacteria (NTM)

Types of sources Sources Commonly isolated NTM
Natural water sources Streams, rivers, lakes, ponds and seawater MAC, Mycobacterium fortuitum, M. chelonae, M. kansasii, M. gordonae, M. xenopi, M. marinum
Man-made water sources Drinking water supply pipelines MAC, M. kansasii, M. gordonae, M. xenopi, M. abscessus, M. fortuitum, M. chelonae, M. scrofulaceum, M. szulgai
Cold and hot water tanks
Hot tubs, indoor and outdoor pools
Household plumbing, showerheads and faucets
Hospital plumbing and water supply
Ice machines and commercial ice
Bottled drinking water
Aerosols Showers, hot-tubs, humidifiers, indoor swimming pools, heater-cooler units in hospitals MAC, M. kansasii, M. gordonae, M. abscessus
Other sources* Natural soil dust, potting soil, peat moss and domestic dust MAC, M. fortuitum, M. chelonae, M. kansasii

*Contaminated tattoo inks: M. haemophilum skin disease; contaminated metal working fluids: M. immunogenum skin disease; MAC, Mycobacterium avium complex. Source: Refs 2, 3