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Mycobacterium avium Complex Infection in an Immunocompetent Young Adult Related to Hot Tub Exposure

Leo M. Kahana; J. Michael Kay; Mitchell A. Yakrus; Susan Waserman
Author and Funding Information

Affiliations: From the Department of Medicine, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the Department of Pathology, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta,  From the Department of Medicine, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada

Affiliations: From the Department of Medicine, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the Department of Pathology, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta,  From the Department of Medicine, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada

Affiliations: From the Department of Medicine, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the Department of Pathology, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta,  From the Department of Medicine, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada

Affiliations: From the Department of Medicine, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the Department of Pathology, St. Joseph's Hospital, Hamilton, Ontario, Canada,  From the National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta,  From the Department of Medicine, Chedoke-McMaster Hospitals, Hamilton, Ontario, Canada


1997 by the American College of Chest Physicians


Chest. 1997;111(1):242-245. doi:10.1378/chest.111.1.242
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Abstract

An unusual case of Mycobacterium avium complex infection occurred in a young adult with no preexisting disease and no evidence of immunodeficiency. There was diffuse interstitial involvement of the lungs which suggested an active alveolitis. Diagnosis required open-lung biopsy. Restriction fragment length polymorphism analysis and multilocus enzyme electrophoresis indicated that the source of the infection was a hot tub. The infection proved to be exceptionally responsive to treatment, and there was complete resolution with a four-drug regimen.


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