Pneumonia caused by Mycobacterium kansasii in a series of patients without recognised immune defect
The clinical and epidemiological characteristics of 17 patients diagnosed with Mycobacterium kansasii pneumonia within a limited geographical region over a period of 10 years are described. An in-depth evaluation of the innate and adaptive immune systems was performed for five available patients. A...
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| Published in: | Clinical microbiology and infection Vol. 10; no. 8; pp. 738 - 748 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Oxford, UK
Elsevier Ltd
01.08.2004
Blackwell Science Ltd Blackwell |
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| ISSN: | 1198-743X, 1469-0691 |
| Online Access: | Get full text |
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| Abstract | The clinical and epidemiological characteristics of 17 patients diagnosed with Mycobacterium kansasii pneumonia within a limited geographical region over a period of 10 years are described. An in-depth evaluation of the innate and adaptive immune systems was performed for five available patients. A comparison was made of the genetic fingerprint patterns of the isolates obtained by restriction fragment length polymorphism (RFLP) analysis, with the major polymorphic tandem repeat (MPTR) as a probe. Predisposing factors consisted of smoking, airway abnormalities, substance abuse, diabetes or poor general condition, but in two patients no risk factor was identified. In the five patients tested, no abnormalities or deficiencies were detected in the innate or adaptive type-1 immunity. All M. kansasii isolates had identical MPTR RFLP patterns, although no epidemiological connection could be established, and these were identical to those of clinical isolates from Australian patients. These data do not support the theory that defects in the innate or adaptive type-1 immunity have a role in the pathogenesis of invasive M. kansasii infections. The identical fingerprint patterns of the isolates suggested the existence of a virulent strain of M. kansasii. |
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| AbstractList | The clinical and epidemiological characteristics of 17 patients diagnosed with Mycobacterium kansasii pneumonia within a limited geographical region over a period of 10 years are described. An in-depth evaluation of the innate and adaptive immune systems was performed for five available patients. A comparison was made of the genetic fingerprint patterns of the isolates obtained by restriction fragment length polymorphism (RFLP) analysis, with the major polymorphic tandem repeat (MPTR) as a probe. Predisposing factors consisted of smoking, airway abnormalities, substance abuse, diabetes or poor general condition, but in two patients no risk factor was identified. In the five patients tested, no abnormalities or deficiencies were detected in the innate or adaptive type-1 immunity. All M. kansasii isolates had identical MPTR RFLP patterns, although no epidemiological connection could be established, and these were identical to those of clinical isolates from Australian patients. These data do not support the theory that defects in the innate or adaptive type-1 immunity have a role in the pathogenesis of invasive M. kansasii infections. The identical fingerprint patterns of the isolates suggested the existence of a virulent strain of M. kansasii. The clinical and epidemiological characteristics of 17 patients diagnosed with Mycobacterium kansasii pneumonia within a limited geographical region over a period of 10 years are described. An in-depth evaluation of the innate and adaptive immune systems was performed for five available patients. A comparison was made of the genetic fingerprint patterns of the isolates obtained by restriction fragment length polymorphism (RFLP) analysis, with the major polymorphic tandem repeat (MPTR) as a probe. Predisposing factors consisted of smoking, airway abnormalities, substance abuse, diabetes or poor general condition, but in two patients no risk factor was identified. In the five patients tested, no abnormalities or deficiencies were detected in the innate or adaptive type-1 immunity. All M. kansasii isolates had identical MPTR RFLP patterns, although no epidemiological connection could be established, and these were identical to those of clinical isolates from Australian patients. These data do not support the theory that defects in the innate or adaptive type-1 immunity have a role in the pathogenesis of invasive M. kansasii infections. The identical fingerprint patterns of the isolates suggested the existence of a virulent strain of M. kansasii.The clinical and epidemiological characteristics of 17 patients diagnosed with Mycobacterium kansasii pneumonia within a limited geographical region over a period of 10 years are described. An in-depth evaluation of the innate and adaptive immune systems was performed for five available patients. A comparison was made of the genetic fingerprint patterns of the isolates obtained by restriction fragment length polymorphism (RFLP) analysis, with the major polymorphic tandem repeat (MPTR) as a probe. Predisposing factors consisted of smoking, airway abnormalities, substance abuse, diabetes or poor general condition, but in two patients no risk factor was identified. In the five patients tested, no abnormalities or deficiencies were detected in the innate or adaptive type-1 immunity. All M. kansasii isolates had identical MPTR RFLP patterns, although no epidemiological connection could be established, and these were identical to those of clinical isolates from Australian patients. These data do not support the theory that defects in the innate or adaptive type-1 immunity have a role in the pathogenesis of invasive M. kansasii infections. The identical fingerprint patterns of the isolates suggested the existence of a virulent strain of M. kansasii. |
| Author | de Haas, P. Ottenhoff, T.H.M. van Dissel, J.T. de Palou, E. Cerdé Janssen, R. Hoeve, M.A. van Soolingen, D. Arend, S.M. Verhard, E.M. |
| Author_xml | – sequence: 1 givenname: S.M. surname: Arend fullname: Arend, S.M. email: s.m.arend@lumc.nl organization: Department of Infectious Diseases, Leiden University Medical Center, Leiden – sequence: 2 givenname: E. Cerdé surname: de Palou fullname: de Palou, E. Cerdé organization: Regional Health Service (Gemeenschappelijke Gezondheids Dienst), Southeast Limburg – sequence: 3 givenname: P. surname: de Haas fullname: de Haas, P. organization: Department of Mycobacteria, National Institute of Public Health and the Environment (Rijks Instituut voor Volksgezondheid en Milieu), Bilthoven – sequence: 4 givenname: R. surname: Janssen fullname: Janssen, R. organization: Department of Infectious Diseases, Leiden University Medical Center, Leiden – sequence: 5 givenname: M.A. surname: Hoeve fullname: Hoeve, M.A. organization: Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands – sequence: 6 givenname: E.M. surname: Verhard fullname: Verhard, E.M. organization: Department of Infectious Diseases, Leiden University Medical Center, Leiden – sequence: 7 givenname: T.H.M. surname: Ottenhoff fullname: Ottenhoff, T.H.M. organization: Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands – sequence: 8 givenname: D. surname: van Soolingen fullname: van Soolingen, D. organization: Department of Mycobacteria, National Institute of Public Health and the Environment (Rijks Instituut voor Volksgezondheid en Milieu), Bilthoven – sequence: 9 givenname: J.T. surname: van Dissel fullname: van Dissel, J.T. organization: Department of Infectious Diseases, Leiden University Medical Center, Leiden |
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| Keywords | Cellular immune system risk factors pneumonia genotyping Mycobacterium kansasii tuberculosis Human Lung disease Pneumonia Typing Respiratory disease Genotype Cellular immunity Mycobacterial infection Infection Tuberculosis Immunological investigation Mycobacteriales Risk factor Bacteriosis Mycobacteriaceae Bacteria Actinomycetes Immune system |
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| SubjectTerms | Adult Aged Bacterial diseases Biological and medical sciences Cellular immune system Female Flow Cytometry Genotype genotyping Human bacterial diseases Humans Immunity, Innate Infectious diseases Interferon-gamma - biosynthesis Male Medical sciences Middle Aged Mycobacterium Infections, Nontuberculous - immunology Mycobacterium Infections, Nontuberculous - microbiology Mycobacterium kansasii Mycobacterium kansasii - classification Mycobacterium kansasii - genetics Mycobacterium kansasii - pathogenicity pneumonia Pneumonia, Bacterial - immunology Pneumonia, Bacterial - microbiology Polymorphism, Restriction Fragment Length risk factors Th1 Cells - immunology tuberculosis Tuberculosis and atypical mycobacterial infections |
| Title | Pneumonia caused by Mycobacterium kansasii in a series of patients without recognised immune defect |
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