Extrapulmonary nontuberculous mycobacterial infections: a guide for the general physician. [Review]
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All Authors
Malhotra, AM.
Arias, M.
Backx, M.
Gadsby, J.
Goodman, A.
Gourlay, Y.
Milburn, H.
Moncayo-Nieto, OL.
Shimmin, D.
Dedicoat, M.
LTHT Author
Shimmin, Deirdre
LTHT Department
Nutrition & Dietetics
Non Medic
Consultant Dietitian
Publication Date
2024
Item Type
Journal Article
Review
Review
Language
Subject
Subject Headings
Abstract
Non-tuberculous mycobacteria (NTM) infections predominantly present as pulmonary disease. Although relatively rare, 20-30 % originate from extrapulmonary sites resulting in a wide range of clinical syndromes. Immunocompromised individuals are particularly susceptible. Clinical manifestations include skin and soft-tissue infections, lymphadenitis, musculoskeletal infections and disseminated disease. Diagnosing extrapulmonary NTM is challenging, and management is complex, often involving multiple radiological and microbiological investigations, long courses of combination antibiotic regimens and may require adjuvant surgical interventions. We highlight both the importance of involving NTM experts at an early stage and the role of a multidisciplinary approach in the diagnosis and management of these infections.
Journal
Clinical Medicine