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Volume 17, Number 3—March 2011
Research

Mycobacterium lentiflavum in Drinking Water Supplies, Australia

Henry M. MarshallComments to Author , Robyn Carter, Matthew J. Torbey, Sharri Minion, Carla Tolson, Hanna E. Sidjabat, Flavia Huygens, Megan Hargreaves, and Rachel M. Thomson
Author affiliations: Author affiliations: The Prince Charles Hospital, Brisbane, Queensland, Australia (H.M. Marshall); The Royal Brisbane Hospital, Brisbane (R. Carter, M.J. Torbey, S. Minion, C. Tolson); University of Queensland Centre for Clinical Research, Brisbane (H.E. Sidjabat); Queensland University of Technology, Brisbane (F. Huygens, M. Hargreaves); Queensland Tuberculosis Control Centre, Brisbane (R.M. Thomson)

Main Article

Table 1

American Thoracic Society/Infectious Diseases Society of America diagnostic criteria for NTM lung disease*

Clinical criteria
Pulmonary symptoms AND
Nodular or cavitary opacities on chest radiograph OR
Multifocal bronchiectasis with multiple small nodules on
high-resolution computerized tomography AND
Appropriate exclusion of other diagnoses
Microbiologic
Positive culture results from at least 2 separate expectorated
sputum samples OR
Positive culture results from at least 1 bronchial wash or
lavage OR
Biopsy† showing granulomatous inflammation or acid-fast
bacilli and positive culture OR
Biopsy† showing granulomatous inflammation or acid-fast
bacilli and one or more culture-positive sputum or bronchial
washings
Comments
•Risk-benefit of therapy should be considered for each patient
•     before institution of therapy
•Expert consultation should be obtained when NTM are
•recovered that are either infrequently encountered or that
•     usually represent environmental contamination
•Patients suspected of having NTM lung disease but who do
•not meet the diagnostic criteria should be followed until the
•     diagnosis is firmly established or excluded

*Adapted from (2). NTM, nontuberculous mycobacteria.
†Transbronchial or other lung biopsy.

Main Article

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Page created: January 17, 2012
Page updated: January 17, 2012
Page reviewed: January 17, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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