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Nontuberculous mycobacteria (NTM) infection is an illness of increasing incidence caused by environmental organisms and can lead to chronic pulmonary disease (1-5). The accuracy of International Classification of Diseases (ICD) [...]

Nontuberculous mycobacteria (NTM) pulmonary disease (PD) is increasing in North America (1-3). The 2 most common causes of NTM PD in Ontario, Canada, are Mycobacterium avium complex (MAC) and M. [...]

Nontuberculous mycobacteria (NTM) are ubiquitous in water and soil and are a cause of opportunistic pulmonary and extrapulmonary infections. Extrapulmonary manifestations include disseminated, skin, joint, and lymph node infections. Extrapulmonary [...]

Nontuberculous mycobacterial pulmonary disease (NTM-PD) is an increasingly common problem (1-3) that is associated with substantially impaired quality of life (4) and is difficult and costly to treat (5,6). At [...]

Mycobacterium abscessus infections are challenging to treat because multidrug resistance necessitates prolonged intravenous (IV) therapy and side effects are perceived to be common. For the best chance of pulmonary disease [...]

Background Treatment decision-making regarding immunosuppressive therapy is challenging for individuals with lupus. We assessed the effectiveness of a decision aid for immunosuppressive therapy in lupus nephritis. Methods and findings In a United States multicenter, open-label, randomized controlled trial (RCT), adult women with lupus nephritis, mostly from racial/ethnic minority backgrounds with low socioeconomic status (SES), seen in in- or outpatient settings, were randomized to an individualized, culturally tailored, computerized decision aid versus American College of Rheumatology (ACR) lupus pamphlet (1:1 ratio), using computer-generated randomization. We hypothesized that the co-primary outcomes of decisional conflict and informed choice regarding immunosuppressive medications would improve more in the decision aid group. Of 301 randomized women, 298 were analyzed; 47% were African-American, 26% Hispanic, and 15% white. Mean age (standard deviation [SD]) was 37 (12) years, 57% had annual income of Conclusions An individualized decision aid was more effective than usual care in reducing decisional conflict for choice of immunosuppressive medications in women with lupus nephritis. Trial registration Clinicaltrials.gov, NCT02319525., Author(s): Jasvinder A. Singh 1,2,*, Liana Fraenkel 3, Candace Green 1, Graciela S. Alarcón 1, Jennifer L. Barton 4,5, Kenneth G. Saag 1, Leslie M. Hanrahan 6, Sandra C. Raymond [...]

Nontuberculous mycobacteria (NTM) are ubiquitous in the environment and are increasingly implicated in human diseases worldwide. Disseminated NTM infections are seen exclusively among immunocompromised hosts, including those with AIDS (1-3). [...]

Medscape EDUCATION ACTIVITY Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been [...]

Fungal infections have become an increasing problem for older persons in the United States (1 -4). Compared with years past, older adults today are more likely to be considered for [...]

Patients seeking treatment who have respiratory specimens positive for acid-fast bacilli present a public health dilemma. Although Mycobacterium tuberculosis and nontuberculous mycobacteria (NTM) cause chronic lung infections, only tuberculosis (TB) [...]

Nontuberculous mycobacteria (NTM) are a large, diverse group of environmental organisms ubiquitous in water and soil (1). They cause a variety of diseases in humans, notably severe, protracted lung disease [...]

In October 2001, four cases of inhalational anthrax occurred in workers in a Washington, D.C., mail facility that processed envelopes containing Bacillus anthracis spores. We reviewed the envelopes' paths and [...]

Over 100 people in northern California developed a bacterial skin infection after receiving a pedicure at a nail salon. Cultures from samples taken from 32 patients tested positive for Mycobacterium fortuitum. The bacterium was found in water samples taken from footbaths at the salon.

To the Editor: Nontuberculous mycobacteria (NTM) are environmental organisms ubiquitous in soil and water, including municipal water supplies. When inhaled, these organisms cause chronic, severe lung disease in susceptible persons [...]

Prospective surveillance for influenza was performed during the 2002 Salt Lake City Winter Olympics. Oseltamivir was administered to patients with influenzalike illness and confirmed influenza, while their close contacts were [...]

In 2000, an outbreak of Mycobacterium fortuitum furunculosis affected customers using whirlpool footbaths at a nail salon. We swabbed 30 footbaths in 18 nail salons from 5 California counties and [...]