OVERVIEW OF RESPIRATORY INFECTION CAUSED BY NONTUBERCULOUS MYCOBACTERIA
Recently, the clinical importance of nontuberculous mycobacteria (especially, Mycobacterium avium complex [MAC] respiratory infection) has been increasing. In addition, an official ATS/IDSA statement about diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases has been publish...
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| Published in | Kekkaku Vol. 82; no. 9; pp. 721 - 727 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
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Japan
JAPANESE SOCIETY FOR TUBERCULOSIS
01.09.2007
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| Online Access | Get full text |
| ISSN | 0022-9776 1884-2410 |
| DOI | 10.11400/kekkaku1923.82.721 |
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| Abstract | Recently, the clinical importance of nontuberculous mycobacteria (especially, Mycobacterium avium complex [MAC] respiratory infection) has been increasing. In addition, an official ATS/IDSA statement about diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases has been published in February, 2007. In this review article, essence of this official statement will be introduced. In MAC respiratory infection, i) primarily fibrocavitary disease, ii)nodular/bronchiectatic disease, and iii) hypersensitivity-like disease are identified, and i) and ii) are clinically important. Primarily fibrocavitary disease is characterized by cavitary lesions in upper lung fields in elderly subjects, smoking patients, or patients with pneumoconiosis. Nodular/bronchiectatic disease is characterized by centrilobular nodules and diffuse bronchiectases in the right middle lobe and the left lingula in middle-aged women. In addition, disseminated MAC disease in patients with acquired immunodeficiency syndrome should be considered. Further studies concerning transmission route as well as mechanism of MAC disease should be performed. |
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| AbstractList | Recently, the clinical importance of nontuberculous mycobacteria (especially, Mycobacterium avium complex [MAC] respiratory infection) has been increasing. In addition, an official ATS/IDSA statement about diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases has been published in February, 2007. In this review article, essence of this official statement will be introduced. In MAC respiratory infection, (i) primarily fibrocavitary disease, (ii) nodular/bronchiectatic disease, and (iii) hypersensitivity-like disease are identified, and (i) and (ii) are clinically important. Primarily fibrocavitary disease is characterized by cavitary lesions in upper lung fields in elderly subjects, smoking patients, or patients with pneumoconiosis. Nodular/bronchiectatic disease is characterized by centrilobular nodules and diffuse bronchiectases in the right middle lobe and the left lingula in middle-aged women. In addition, disseminated MAC disease in patients with acquired immunodeficiency syndrome should be considered. Further studies concerning transmission route as well as mechanism of MAC disease should be performed. Recently, the clinical importance of nontuberculous mycobacteria (especially, Mycobacterium avium complex [MAC] respiratory infection) has been increasing. In addition, an official ATS/IDSA statement about diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases has been published in February, 2007. In this review article, essence of this official statement will be introduced. In MAC respiratory infection, (i) primarily fibrocavitary disease, (ii) nodular/bronchiectatic disease, and (iii) hypersensitivity-like disease are identified, and (i) and (ii) are clinically important. Primarily fibrocavitary disease is characterized by cavitary lesions in upper lung fields in elderly subjects, smoking patients, or patients with pneumoconiosis. Nodular/bronchiectatic disease is characterized by centrilobular nodules and diffuse bronchiectases in the right middle lobe and the left lingula in middle-aged women. In addition, disseminated MAC disease in patients with acquired immunodeficiency syndrome should be considered. Further studies concerning transmission route as well as mechanism of MAC disease should be performed.Recently, the clinical importance of nontuberculous mycobacteria (especially, Mycobacterium avium complex [MAC] respiratory infection) has been increasing. In addition, an official ATS/IDSA statement about diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases has been published in February, 2007. In this review article, essence of this official statement will be introduced. In MAC respiratory infection, (i) primarily fibrocavitary disease, (ii) nodular/bronchiectatic disease, and (iii) hypersensitivity-like disease are identified, and (i) and (ii) are clinically important. Primarily fibrocavitary disease is characterized by cavitary lesions in upper lung fields in elderly subjects, smoking patients, or patients with pneumoconiosis. Nodular/bronchiectatic disease is characterized by centrilobular nodules and diffuse bronchiectases in the right middle lobe and the left lingula in middle-aged women. In addition, disseminated MAC disease in patients with acquired immunodeficiency syndrome should be considered. Further studies concerning transmission route as well as mechanism of MAC disease should be performed. |
| Author | HIBIYA, Kenji HARANAGA, Shusaku HIGA, Futoshi FUJITA, Jiro TATEYAMA, Masao |
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| References | 2) Diagnosis and treatment of disease caused by nontuberculous mycobacteria. This official statement of t he American Thoracic Society was approved by the Board of D irectors, March 1997. Medical Section of the American Lung Association. Am J Respir Crit Care Med. 1997; 156 (2 Pt 2 ): S1-25. 14) Hartman TE, Swensen Si, Williams DE: Mycobacterium avium-intracellulare complex: evaluation with CT. Radiology. 1993; 187: 23-26. 3) Timpe A, Runyon EH: The relationship of atypical acidfast bacteria to human disease: a preliminary report. J Lab Clin Med. 1954; 44: 202. 5) Lewis AG, Lasch EM, Armstrong AL, et al.: A clinical study of the chronic lung disease due to nonphotochromog e nic acid-fast bacilli. Ann Intern Med. 1960; 53: 273-285. 1) Griffith DE, Aksamit T, Brown-Elliott BA, et al., ATS Mycobacterial Diseases Subcommittee; American Thor a cic Society; Infectious Disease Society of America: An official ATSIIDSA statement: diagnosis, treatment, and prev ention of nontuberculous mycobacterial diseases. Am J R espir Crit Care Med. 2007; 175: 367-416. 17) Fujita I, Ohtsuki Y, Suemitsu I, et al.: Pathological and radiological changes in resected lung specimens in My c obacterium avium intracellulare complex disease. Eur R espir J. 1999; 13: 535-540. 6)下出久雄: 非定型抗酸菌症の臨床的研究(第11報)―中葉舌区型, 慢性気管支炎型, 気管支拡張型について. 日胸. 1980; 39: 866-878. 7) Albelda SM, Kern JA, Marinelli DL, et al.: Expanding spectrum of pulmonary disease caused by nontu b erculous mycobacteria. Radiology. 1985; 157: 289-296. 20) Embil J, Warren P, Yakrus M, et al.; Pulmonary illness associated with exposure to Mycobacterium avium com plex in h ot tub water. Chest. 1997; 111: 813-816. 8) Prince DS, Peterson DD, Steiner RM, et al.: Infection with Mycobacterium avium complex in patients without predis p osing conditions. N Engl J Med. 1989; 321: 8 63-868. 18) Fujita J, Ohtsuki Y, Shigeto E, et al.: Pathological findings of bronchiectases caused by Mycobacterium avium intracellulare complex. Respir Med. 2003; 97: 933-938. 4) Crow HE, King CT, Smith E, et al.: A limited clinical, pathologic, and epidemiologic study patients with pul m onary lesions associated with atypical acid-fast bacilli in the sputum. Am Rev Tuberc. 1957; 75: 199-222. 10)日比谷健司, 比嘉太, 健山正男, 他: 人類共通感染疲としての抗酸菌症 ―特にMycebacteriu mavium complex の比較病理, 結核, 2007; 82: 539-550. 21) Ottenhoff THM, Verreck FAW, Lichtenauer-Kaligis EGR, et al.: Genetics, cytokines and human infectious dis e a se: lessons from weakly pathogenic mycobacteria and salmonellae. Nature Genet. 2002; 32: 97-105. 11) Fujita J, Kishimoto T, Ohtsuki Y, et al.: Clinical features of eleven cases of Mycobacterium a vium-intrac e llulare complex pulmonaryd isease associated w i th p neumoconiosis. Respir Med. 2004; 98: 721-725. 12) Obayashi Y, Fujita J, S uemitsu I, et al.: Clinical features of non-tuberculous mycobacterial disease: comp a risons between smear-positive and smear-negative c ases, and between Mycobacteriuma vium and Mycobacterium i nt r acellulare. I nt J Tuberc Lung Dis. 1998; 2: 597-602. 9) Biet F, Boschiroli ML, Thorel MF, et al. Zoonotic aspects of Mycobacterium bovis and Mycobacterium aviumintracellulare complex (MAC), Vet Res. 2005; 36: 411-436. 13) Moore EH: Atypical mycobacterial infection in the lung: CT appearance. Radiology. 1993; 187: 777-782. 16) Obayashi Y, Fujita J, Suemitsu I, et al.: Successive followup of chest computed tomography in patients with My c obacterium avium-intracellulare complex. Respir Me d. 1999; 93: 11-15. 15) Swensen Si, Hartm an TE, Williams DE: Computed tomographic diagnosis of Mycobacterium avium-intracel l u lare complex in patients with bronchiectasis. Chest. 1994; 105: 49-52. 19) Kahana L, Kay M, Yakrus M, et al.: Mycobacterium avium complex infection in an immunocompetent young a dult related to hot tub exposure. Chest. 1997; 111: 242-245. |
| References_xml | – reference: 1) Griffith DE, Aksamit T, Brown-Elliott BA, et al., ATS Mycobacterial Diseases Subcommittee; American Thor a cic Society; Infectious Disease Society of America: An official ATSIIDSA statement: diagnosis, treatment, and prev ention of nontuberculous mycobacterial diseases. Am J R espir Crit Care Med. 2007; 175: 367-416. – reference: 3) Timpe A, Runyon EH: The relationship of atypical acidfast bacteria to human disease: a preliminary report. J Lab Clin Med. 1954; 44: 202. – reference: 9) Biet F, Boschiroli ML, Thorel MF, et al. Zoonotic aspects of Mycobacterium bovis and Mycobacterium aviumintracellulare complex (MAC), Vet Res. 2005; 36: 411-436. – reference: 11) Fujita J, Kishimoto T, Ohtsuki Y, et al.: Clinical features of eleven cases of Mycobacterium a vium-intrac e llulare complex pulmonaryd isease associated w i th p neumoconiosis. Respir Med. 2004; 98: 721-725. – reference: 5) Lewis AG, Lasch EM, Armstrong AL, et al.: A clinical study of the chronic lung disease due to nonphotochromog e nic acid-fast bacilli. Ann Intern Med. 1960; 53: 273-285. – reference: 6)下出久雄: 非定型抗酸菌症の臨床的研究(第11報)―中葉舌区型, 慢性気管支炎型, 気管支拡張型について. 日胸. 1980; 39: 866-878. – reference: 13) Moore EH: Atypical mycobacterial infection in the lung: CT appearance. Radiology. 1993; 187: 777-782. – reference: 19) Kahana L, Kay M, Yakrus M, et al.: Mycobacterium avium complex infection in an immunocompetent young a dult related to hot tub exposure. Chest. 1997; 111: 242-245. – reference: 14) Hartman TE, Swensen Si, Williams DE: Mycobacterium avium-intracellulare complex: evaluation with CT. Radiology. 1993; 187: 23-26. – reference: 17) Fujita I, Ohtsuki Y, Suemitsu I, et al.: Pathological and radiological changes in resected lung specimens in My c obacterium avium intracellulare complex disease. Eur R espir J. 1999; 13: 535-540. – reference: 21) Ottenhoff THM, Verreck FAW, Lichtenauer-Kaligis EGR, et al.: Genetics, cytokines and human infectious dis e a se: lessons from weakly pathogenic mycobacteria and salmonellae. Nature Genet. 2002; 32: 97-105. – reference: 12) Obayashi Y, Fujita J, S uemitsu I, et al.: Clinical features of non-tuberculous mycobacterial disease: comp a risons between smear-positive and smear-negative c ases, and between Mycobacteriuma vium and Mycobacterium i nt r acellulare. I nt J Tuberc Lung Dis. 1998; 2: 597-602. – reference: 7) Albelda SM, Kern JA, Marinelli DL, et al.: Expanding spectrum of pulmonary disease caused by nontu b erculous mycobacteria. Radiology. 1985; 157: 289-296. – reference: 18) Fujita J, Ohtsuki Y, Shigeto E, et al.: Pathological findings of bronchiectases caused by Mycobacterium avium intracellulare complex. Respir Med. 2003; 97: 933-938. – reference: 8) Prince DS, Peterson DD, Steiner RM, et al.: Infection with Mycobacterium avium complex in patients without predis p osing conditions. N Engl J Med. 1989; 321: 8 63-868. – reference: 15) Swensen Si, Hartm an TE, Williams DE: Computed tomographic diagnosis of Mycobacterium avium-intracel l u lare complex in patients with bronchiectasis. Chest. 1994; 105: 49-52. – reference: 10)日比谷健司, 比嘉太, 健山正男, 他: 人類共通感染疲としての抗酸菌症 ―特にMycebacteriu mavium complex の比較病理, 結核, 2007; 82: 539-550. – reference: 2) Diagnosis and treatment of disease caused by nontuberculous mycobacteria. This official statement of t he American Thoracic Society was approved by the Board of D irectors, March 1997. Medical Section of the American Lung Association. Am J Respir Crit Care Med. 1997; 156 (2 Pt 2 ): S1-25. – reference: 4) Crow HE, King CT, Smith E, et al.: A limited clinical, pathologic, and epidemiologic study patients with pul m onary lesions associated with atypical acid-fast bacilli in the sputum. Am Rev Tuberc. 1957; 75: 199-222. – reference: 16) Obayashi Y, Fujita J, Suemitsu I, et al.: Successive followup of chest computed tomography in patients with My c obacterium avium-intracellulare complex. Respir Me d. 1999; 93: 11-15. – reference: 20) Embil J, Warren P, Yakrus M, et al.; Pulmonary illness associated with exposure to Mycobacterium avium com plex in h ot tub water. Chest. 1997; 111: 813-816. |
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| SubjectTerms | Animals Anti-Bacterial Agents - therapeutic use Azithromycin - therapeutic use Clarithromycin - therapeutic use Clinical features Female Humans Immunocompromised Host Mycobacterium avium Complex Mycobacterium avium-intracellulare Infection - classification Mycobacterium avium-intracellulare Infection - diagnosis Mycobacterium avium-intracellulare Infection - drug therapy Mycobacterium avium-intracellulare Infection - transmission Non-tuberculous mycobacterium Pathological findings Radiological findings Tuberculosis, Pulmonary - classification Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - therapy Tuberculosis, Pulmonary - transmission |
| Title | OVERVIEW OF RESPIRATORY INFECTION CAUSED BY NONTUBERCULOUS MYCOBACTERIA |
| URI | https://www.jstage.jst.go.jp/article/kekkaku1923/82/9/82_9_721/_article/-char/en https://www.ncbi.nlm.nih.gov/pubmed/17969990 https://www.proquest.com/docview/68455003 |
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