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BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5713
  • Novel diagnostic procedure

Mycobacterium intracellulare infection in non-HIV infected patient in a region with a high burden of tuberculosis

  1. Klaus Reither1,3
  1. 1Ifakara Health Institute, Bagamoyo, United Republic of Tanzania
  2. 2Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
  3. 3Tuberculosis Research, Swiss Tropical and Public Health Institute, Basel, Switzerland
  1. Correspondence to Dr Klaus Reither, Klaus.Reither{at}unibas.ch

Summary

Data on non-tuberculous Mycobacteria (NTM) infection in non-HIV patients in Tanzania are scarce. However, NTM infections are emerging in Africa as in many parts of the world. Healthcare providers and physicians working in high tuberculosis incidence regions should also consider NTM as one of the differential diagnosis. A 35-year-old Tanzanian man presented with history of cough, fever, chest pain and night sweats for 4 weeks. The patient had a history of tuberculosis 4 years ago. On physical examination, there were no significant findings. Sputum smears were positive for acid fast bacilli, while Xpert MTB/RIF showed negative results. Culture and subsequent differentiation confirmed Mycobacterium intracellulare infection. With no specific national guidelines at our setting the patient received standard antituberculosis treatment and is kept under close follow-up.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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