NTM Flashcards

1
Q

which NTM is most likely MDR?

A

M. avium complex (MAC)

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2
Q

how is NTM transmitted?

A

from the environment

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3
Q

what is the NTM reservoir?

A

environment

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4
Q

is NTM transmitted person-to-person?

A

no

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5
Q

what age group is most susceptible to NTM infx?

A

elderly

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6
Q

what are key risk factors for NTM infx?

A

immunosuppression and underlying disease

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7
Q

can NTM induce a positive PPD skin test?

A

yes, but weakly

importance of >15mm in normal people

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8
Q

does NTM normally cause disease in immunocompetent persons?

A

no

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9
Q

is M. kansasii a fast or slow grower?

A

slow grower

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10
Q

is M. avium (MAC) a fast or slow grower?

A

slow grower

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11
Q

is M. fortuitum a fast or slow grower?

A

fast grower

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12
Q

is M. abscessus a fast or slow grower?

A

fast grower

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13
Q

is M. chelonae a fast or slow grower?

A

fast grower

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14
Q

is M. massiliense a fast or slow grower?

A

fast grower

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15
Q

is M. bolletii a fast or slow grower?

A

fast grower

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16
Q

where is M. kansasii found?

A

water supplies

17
Q

in what geographical region is M. kansasii common?

A

Midwest US

18
Q

is M. kansasii contagious?

19
Q

where is MAC found?

A

ubiquitous in environment

20
Q

in what geographical region is M. kansasii common?

A

Southeastern US

21
Q

in what epidemiological group is M. kansasii usually seen?

A

older white males with underlying lung disease

22
Q

if you see a weakly positive PPD in an older white male with chronic lung disease, presenting with TB like symptoms, what is a non-MTB cause?

23
Q

In HIV patients, what is the most common bacterial infx?

24
Q

what does hepatosplenomegaly and elevated liver enzymes in an HIV pt presenting with flu like symtoms possibly indicate? (assuming bacterial etiology is indicated)

A

MAC infx (via GIT)

25
what NTM is common in accidental wound trauma and surgical procedures (especially prosthetic implants)?
fortuitum complex (rapid growing NTM agents)
26
so a woman recovering from breast cancer gets implants. Within a week, she has disseminated infx involving skin, soft tissue, bone, and LRT. Besides the typical HAP agents, what might've caused the infx?
fortuitum complex (rapid growing NTM agents)
27
what NTM agent is susceptible to alkaline glutaraldehyde, and a low susceptibility to high level disinfectants?
fortuitum complex (rapid growing NTM agents)
28
what phylogenetic level does the lab have to specify, pertaining to NTM agents?
species level
29
is there any specific NTM treatment listed in the notes?
nope, fuckin nothing