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Volume 15, Number 2—February 2009


Nontuberculous Mycobacteria, Zambia

Patricia C.A.M. BuijtelsComments to Author , Marianne A.B. van der Sande, Cas S. de Graaff, Shelagh Parkinson, Henri A. Verbrugh, Pieter L.C. Petit, and Dick van Soolingen
Author affiliations: Medical Centre Rijnmond-Zuid, Rotterdam, the Netherlands (P.C.A.M. Buijtels); University Medical Center Rotterdam, Rotterdam (P.C.A.M. Buijtels, H.A. Verbrugh); National Institute of Public Health and the Environment, Bilthoven, the Netherlands (M.A.B. van der Sande, D. van Soolingen); Medical Centre Alkmaar, Alkmaar, the Netherlands (C.S. de Graaff); St. Francis Hospital, Katete, Zambia (S. Parkinson); Vlietland Hospital, Schiedam, the Netherlands (P.L.C. Petit)

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Table 2

Data for 4 patients with NTM in 2 consecutive sputum samples and 3 NTM-positive patients from whom 1 of 2 sputum samples contained mycobacteria that could not be identified, Zambia, August 2002–March 2003*

Patient no. Isolate from first sputum sample Isolate from second sputum sample Ziehl-Neelsen staining Sex Age, y HIV status Temp, °C Duration, wk Chest radiograph result Died BMI
1† Mycobacterium intracellulare AFB not identified 1+ M 55 + 34.6 17 Suspected TB Yes 17
2† AFB not identified M. intracellulare F 45 + 36.1 487 Suspected TB No 20
3 M. intracellulare M. intracellulare M 43 + 36.3 3 No pathologic changes No 19
4† M. intracellulare M. intracellulare M 32 + 36.8 17 Suspected TB Yes 15
5 AFB not identified M. porcinum F 50 36.6 8 No suspected TB No 21
6 M. avium M. avium M 33 + 37.4 17 No radiograph No 16
7 M. avium M. peregrinum, M. tuberculosis F 24 + 35.0 13 No pathologic changes Yes NK

*NTM, nontuberculous mycobacteria; Temp, temperature at time of enrollment; Duration, duration of symptoms from time of coming to the hospital to enrollment in the study; BMI, body mass index; AFB, acid-fast bacilli; TB, tuberculosis; NK, not known. All patients had respiratory symptoms.
†Patients assumed to have pulmonary NTM disease.

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