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Pulmonary Mycobacterium abscessus Infection: A Pathogen in Disguise.
Kiersten M Waugh1,2, Rana Wajahat2,3
1Infectious Diseases, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, USA.
Nontuberculous mycobacteria (NTM) infections are increasing globally and are hard to treat. This case highlights challenges in diagnosing Mycobacterium abscessus complex (MABC) due to its mimicry of other conditions.
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Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Nontuberculous mycobacteria (NTM) infections are a growing global health concern.
- Treatment of NTM infections is challenging due to increasing antibiotic resistance.
- Mycobacterium abscessus complex (MABC) is particularly difficult to treat owing to its high resistance to common antibiotics.
Observation:
- An 81-year-old female presented with recurrent, similar complaints leading to multiple hospital admissions.
- The patient was ultimately diagnosed with Mycobacterium abscessus infection.
- The symptoms mimicked other medical conditions, complicating the diagnostic process.
Findings:
- The case underscores the diagnostic challenges posed by NTM infections.
- High clinical suspicion is crucial for timely and accurate diagnosis of MABC.
- Limited effective treatment options exist for antibiotic-resistant MABC.
Implications:
- This case highlights the need for increased awareness of NTM infections among clinicians.
- Improved diagnostic strategies are required to address the rising incidence of NTM.
- Further research into effective treatment regimens for drug-resistant MABC is warranted.

