Nontuberculosis Mycobacteria Flashcards
Nontuberculous Mycobacteria characteristics group 1
Photochromogens (10 – 21 days growth rate)
Color production of photochromogens group 1
Cream/Buff in dark, Yellow to orange after light exposure
Nontuberculous Mycobacteria characteristics group 2
Scotochromogens (10 – 21 days growth rate)
Color production of scotochromogens group 2
Yellow to orange in dark and after light exposure
Nontuberculous Mycobacteria characteristics group 3
Nonphotochromogens (10 – 21 days growth rate)
Color production of nonphotochromogens group 3
Cream/buff in dark and after light exposure
Characteristics of NTM group 4
Rapid growers (3-7 days)
Color production of rapid growers group 4
Varying pigments in dark and after light exposure
Runyoun Group I (Photochromogens) Mycobacteria species
marinum, asiaticum, kansasii, branderi, intermedium, nebraskense
Runyoun Group 2 (Scotochromogens) Mycobacteria species
gordonae, scrofulaceum, szulgai, europaeum, interjectum, heckeshornense, lentiflavum
Runyoun Group 3 (Nonphotochromogens) Mycobacteria species
avium complex, celatum, genavense, shimoidei, simiae, terrae complex, xenopi, ulcerans, lacus, malmonse, haemophilium
Runyoun Group 4 (Rapid growers) Mycobacteria species
abscessus, fortuitum, chelonae
Mycobacterium associated with freshwater and saltwater; associated with fish and breaks in skin. Positive for Tween 80 Hydrolysis, Urease, Pyrazinamide. Optimum growth temperature: 28-32°C
M. marinum
Mycobacterium associated with Cutaneous disease (Swimming pool granuloma), bacteremia
M. marinum
Mycobacterium associated with tropical environmental water (primarily in Australia); disease associated with pulmonary disease, bursitis, tenosynovitis
M. asiaticum
Mycobacterium found in tap water; more common in white males. Positive for nitrate, catalase, tellurite reduction, and Tween 80 Hydrolysis; associated with Chronic pulmonary disease, cervical lymphadenitis, cutaneous disease
M. kansasii
Environmental isolate associated with pulmonary disease and ulcerative tenosynovitis
M. branderi
Environmental water isolate associated with pulmonary and cutaneous disease
M. intermedium
Skin infection in dogs; associated with pulmonary and cutaneous disease
M. nebraskense
Mycobacterium found in fresh/tap water (pipeline, laboratory faucet). Positive for Catalase and Tween 80 hydrolysis
M. gordonae
Mycobacterium associated with pulmonary pneumonitis and other hypersensitivity lung diseases affecting immunocompromised patients
M. gordonae
Mycobacterium associated with raw milk, dairy products, soil; causes cervical adenitis in children, pulmonary, and skin infections
M. scrofulaceum
Mycobacterium found in water and soil; associated with pulmonary disease and lymphadenitis
M. szulgai
Mycobacterium colonizer; associated with pulmonary disease and lymphadenitis
M. europaeum
Mycobacterium with unknown source; associated with chronic lymphadenitis and polyangiitis
M. interjectum
Mycobacterium environmental isolate; associated with pulmonary disease, lymphadenitis, and tenosynovitis
M. heckeshornense
Mycobacterium found in environmental water; associated with pulmonary disease, spondylodiscitis, and frequently with cystic fibrosis
M. lentiflavum
Mycobacterium environmental isolate; positive for Tellurite reduction and Pyrazinamidase. Patients without AIDS: Pulmonary infections, Lymphadenitis; M. avium subsp. paratuberculosis causes Johne disease in cattle, sheep, goats. Patients with AIDS: Disseminated disease
M. avium complex
Mycobacterium with unknown source; associated with coinfection in immunocompromised patients with HIV
M. celatum
Mycobacterium found in pets (Parrot, Parakeet, Dogs); Tap water isolate; associated with disseminated disease in AIDS patients
M. genavense
Mycobacterium environmental isolate; associated with tuberculosis-like pulmonary infection
M. shimoidei
Mycobacterium found in tap water and hospital tanks; associated with tuberculosis-like pulmonary infection
M. simiae
Mycobacterium found in aquatic environments; associated with pulmonary disease and tenosynovitis
M. terrae complex
Mycobacterium found in hot water taps in hospitals; optimum growth temperature: 28-32°C; associated with pulmonary infections
M. xenopi
Mycobacterium found in stagnant tropical waters and aquatic insects; positive for heat-stable catalase; 3rd most common mycobacterial disease; causes indolent cutaneous and subcutaneous infections (African Buruli ulcer or Australian Bairnsdale ulcer)
M. ulcerans
Mycobacterium with unknown source; associated with bursitis with caseating granuloma
M. lacus
Mycobacterium found in armadillos; associated with pulmonary infections and lymphadenitis
M. malmoense
Mycobacterium with unknown source; optimum growth is 28-30°C, requires hemin/hemoglobin; associated with skin and pulmonary infections
M. haemophilum
Mycobacterium responsible for 80% of pulmonary disease caused by Runyon Group 4; associated with disseminated disease in immunocompromised patients, healthcare infections, and cystic fibrosis
M. abscessus
Mycobacterium found in environmental sources like water, soil, and dust; associated with postoperative infections in breast augmentation and median sternotomy, as well as pulmonary infections
M. fortuitum
Mycobacterium associated with keratitis, infections of the skin, soft tissue, postoperative wounds; found in environmental sources like water, soil, and dust
M. chelonae
Mycobacterium leprae main reservoir
Humans
Mycobacterium leprae causes
Leprosy (Hansen disease)
Silent phase of Mycobacterium leprae infection
Multiplication in skin macrophages
Intermediate phase of Mycobacterium leprae infection
Multiplication in peripheral nerves
Localized form of Mycobacterium leprae infection
Tuberculoid leprosy (Skin lesions and damaged nerves, Lepromin skin test positive)
Disseminated form of Mycobacterium leprae infection
Lepromatous leprosy (Facial and nasal deformities, Lepromin skin test negative)
Routine diagnosis for Mycobacterium leprae
Clinical manifestations, hypopigmented skin lesions, peripheral nerves, AFB-positive skin smear
Appearance of M. leprae under the microscope
Cigarette packet or picket fence arrangement
Ability to grow M. leprae in vitro
NOT cultivable in regular media (in vitro)
Where M. leprae can be cultivated in vivo
Footpads of armadillo or mice
Acid-fast properties of M. leprae compared to other Mycobacteria
Not as acid-fast; uses 10% sulfuric acid as a weaker decolorizer compared to 1% acid-ethanol
Biochemical test positive for M. leprae
Phenolase test positive
Special stain used for M. leprae
Fite-Faraco stain
Molecular test for M. leprae
Droplet digital PCR (ddPCR) on blood, tissue, or urine