Abstract
45 years old male; non-smoker; non-alcoholic; presented with complain of shortness of breath, on and off since 2 years aggravated since 1 month, cough with expectoration along with loss of weight and appetite since 1 month and nausea and vomiting since 3 days. The patient was earlier a diagnosed case of Mycobacterium tuberculosis microbiologically (sputum) and clinically detected and took treatment for only 2 months. Patient was treated on the lines of non tuberculous Mycobacteria both at NITRD (National Institute of Tuberculosis and Respiratory Diseases) Mehrauli, Delhi and at a private hospital in Faridabad, Haryana based on sputum culture reports. Patient further came to SGT Hospital, Gurugram, Haryana as he was not having symptomatic relief. Patient bronchoscopy was done in which BAL (Broncho alveolar lavage) AFB was positive, CBNAAT not detected. BAL culture was positive for NTM (non tuberculous Mycobacteria) slow grower Mycobacterium avium complex (MAC). Patient was started on tablet rifampicin, tablet ethambutol, tablet azithromycin and injectable amikacin thrice a week and sent home with a plan to repeat sputum culture after 3 months.
Keywords: Mycobacterium tuberculosis (Mtb); Non-tuberculous Mycobacteria (NTM); Mycobacterium avium Complex (MAC)
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