Nontuberculous Mycobacteria: Emerging Diseases and Health Impacts 2.0

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Medical Microbiology".

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 8218

Special Issue Editor

Special Issue Information

Dear Colleagues,

This Special Issue is the continuation of our previous Special Issue "Non-Tuberculous Mycobacteria: Emerging Diseases and Health Impacts".

Non-tuberculous mycobacteria (NTM) are ubiquitous in the environment and have been identified repeatedly from the soil, as well as municipal and other water supplies, by using both molecular and traditional methods. NTM are important environmental pathogens that can cause a broad spectrum of diseases. The number of infections that can be associated with specific species, as well as the number of new species that are etiological agents, has increased due to the development of new diagnostic tools. The incidence of pulmonary NTM infection and disease, as well as the prevalence of Buruli ulcer (Mycobacterium ulcerans), is increasing. In addition, the M. avium complex is implicated in a wide number of diseases. This Special Issue will explore the environmental distribution, detection, and health impact of NTM.

Prof. Dr. Roger Pickup
Guest Editor

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Published Papers (2 papers)

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Review

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14 pages, 1265 KiB  
Review
Sarcoidosis, Mycobacterium paratuberculosis and Noncaseating Granulomas: Who Moved My Cheese
by Coad Thomas Dow, Nancy W. Lin and Edward D. Chan
Microorganisms 2023, 11(4), 829; https://doi.org/10.3390/microorganisms11040829 - 24 Mar 2023
Cited by 1 | Viewed by 6141
Abstract
Clinical and histological similarities between sarcoidosis and tuberculosis have driven repeated investigations looking for a mycobacterial cause of sarcoidosis. Over 50 years ago, “anonymous mycobacteria” were suggested to have a role in the etiology of sarcoidosis. Both tuberculosis and sarcoidosis have a predilection [...] Read more.
Clinical and histological similarities between sarcoidosis and tuberculosis have driven repeated investigations looking for a mycobacterial cause of sarcoidosis. Over 50 years ago, “anonymous mycobacteria” were suggested to have a role in the etiology of sarcoidosis. Both tuberculosis and sarcoidosis have a predilection for lung involvement, though each can be found in any area of the body. A key histopathologic feature of both sarcoidosis and tuberculosis is the granuloma—while the tuberculous caseating granuloma has an area of caseous necrosis with a cheesy consistency; the non-caseating granuloma of sarcoidosis does not have this feature. This article reviews and reiterates the complicity of the infectious agent, Mycobacterium avium subsp. paratuberculosis (MAP) as a cause of sarcoidosis. MAP is involved in a parallel story as the putative cause of Crohn’s disease, another disease featuring noncaseating granulomas. MAP is a zoonotic agent infecting ruminant animals and is found in dairy products and in environmental contamination of water and air. Despite increasing evidence tying MAP to several human diseases, there is a continued resistance to embracing its pleiotropic roles. “Who Moved My Cheese” is a simple yet powerful book that explores the ways in which individuals react to change. Extending the metaphor, the “non-cheesy” granuloma of sarcoidosis actually contains the difficult-to-detect “cheese”, MAP; MAP did not move, it was there all along. Full article
(This article belongs to the Special Issue Nontuberculous Mycobacteria: Emerging Diseases and Health Impacts 2.0)
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10 pages, 1567 KiB  
Case Report
Disseminated Mycobacterium genavense Infection Mimicking Sarcoidosis: A Case Report and Review of Literature on Japanese Patients
by Ryo Ogata, Takashi Kido, Kazuaki Takeda, Kazuki Nemoto, Riko Heima, Mami Takao, Ritsuko Miyashita, Mutsumi Ozasa, Takatomo Tokito, Daisuke Okuno, Yuya Ito, Hirokazu Yura, Tomohiro Koga, Kunio Hashimoto, Shinnosuke Takemoto, Takahiro Takazono, Hiroshi Ishimoto, Noriho Sakamoto, Kazumasa Fukuda, Yuka Sasaki, Yasushi Obase, Yuji Ishimatsu, Kazuhiro Yatera, Koichi Izumikawa and Hiroshi Mukaeadd Show full author list remove Hide full author list
Microorganisms 2023, 11(9), 2145; https://doi.org/10.3390/microorganisms11092145 - 24 Aug 2023
Cited by 1 | Viewed by 1472
Abstract
Sarcoidosis is a systemic inflammatory disease characterized by noncaseating epithelioid cell granulomas. However, certain infections can exhibit similar histological findings. We present a case of a 69-year-old man who was initially diagnosed with sarcoidosis and later was confirmed, through 16S rRNA sequencing, to [...] Read more.
Sarcoidosis is a systemic inflammatory disease characterized by noncaseating epithelioid cell granulomas. However, certain infections can exhibit similar histological findings. We present a case of a 69-year-old man who was initially diagnosed with sarcoidosis and later was confirmed, through 16S rRNA sequencing, to have disseminated Mycobacterium genavense infection. Acid-fast bacteria were detected in the bone marrow biopsy using Ziehl–Neelsen staining, but routine clinical tests did not provide a definitive diagnosis. The patient tested negative for HIV, anti-interferon-gamma antibodies, and genetic immunodeficiency disorders. He was treated with multiple drugs, including aminoglycosides and macrolides, but showed no improvement in fever and pancytopenia. However, these clinical signs responded favorably to steroid therapy. We reviewed 17 Japanese cases of M. genavense infection. All cases were in males; 7/17 (41%) were HIV-negative; and 12/17 (71%) had a decreased CD4 count. Genetic analysis confirmed M. genavense isolation, and macrolides were used universally. Mycobacterium genavense infection is challenging to identify and mimics other systemic inflammatory diseases such as sarcoidosis. There are no standard treatment protocols. Our case report and Japanese case review contribute to understanding this rare disease. Full article
(This article belongs to the Special Issue Nontuberculous Mycobacteria: Emerging Diseases and Health Impacts 2.0)
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