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Nontuberculous mycobacteria

Non tuberculous mycobacteria

They cause opportunistic disease in people, called opportunistic mycobacteria.

They grow much faster than mycobacterium tuberculosis.

Most of these bacteria are resistance to antitubercular drugs.

The cord factor absent in cell wall.

They may be longer or smaller than mycobacterium tuberculosis.


Sources and mode of Transmission

(Known as environmental mycobacteria)

NTM are acquired from environment by inhalation or inoculation into wound.

Cause lung infection, skin infection.

Catheter related infection and keratitis (corneal inflammation) in individual undergo surgery.

Laboratory Diagnosis

Specimen collection

Identify the isolated bacilli

Chest X ray

Treatment

Treatment with multiple antimycobacterial drugs.

Clarithromycin or other macrolides need to be given prophylactically to individuals infected with HIV.

Contaminated catheter need to be replaced.

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