Table 1.
Clinical Syndrome | Most Common Species | Other Species | Risk Factors/ Associations |
---|---|---|---|
Pulmonary44, [110] | MAC M. kansasii |
M. abscessus M. fortuitum M. szulgai M. xenopi M. celatum M. asiaticum M. shimoidei |
α1-Antitrypsin deficiency Ciliary dyskinesia Cystic fibrosis GERD Bronchiectasis Pulmonary histoplasmosis Low BMI with scoliosis, pectus excavatum, mitral valve prolapse Smoking or heavy alcohol use (M. malmoense) Lymphopenia |
M. malmoense (Scandinavian Peninsula; Northern Europe) | |||
Cervical Lymphadenitis3, [4], [111] | MAC M. scrofulaceum |
M. malmoense | Children; 1–5 yrs Men with lung cancer |
Skin, soft tissue infection |
M. ulcerans M. kansasii |
M. szulgai MAC |
Bathing in water from bore holes insect bites Possible association with pedicures |
Tenosynovitis |
M. marinum* MAC M. abscessus |
M. terrae M. szulgai M. malmoense M. xenopi |
*Exposure to fish tanks or other contaminated marine water sources |
Bone disease [112], [113] |
M. kansasii M. fortuitum |
MAC M. xenopi M. chelonae M. abscessus |
May occur via direct trauma or hematogenous seeding |
Disseminated disease [114], [115] FUO BSI Abscesses Peritonitis |
MAC |
M. kansasii M. chelonae M. abscessus M. haemophilum M. scrofulaceum M. malmoense |
Severe Immunosuppression: HIV infection/AIDS (CD4 count <50 cells) SOT or stem cell transplant long-term, high dose steroids |
Abbreviations: BMI – Body Mass Index, BSI – Blood Stream Infection, FUO – Fever of Unknown Origin, HIV – Human Immunodeficiency Virus, MAC – Mycobacterium Avium Complex, SOT – Solid Organ Transplant.