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Disseminated Mycobacterium avium complex (MAC) infections are commonly reported in patients infected with the human immunodeficiency virus (HIV), although MAC infections are also reported in such immune-compromised patients as renal transplant recipients. In this group of patients, the clinical course is generally atypical, and treatment strategies can differ. Herein we present the case of a disseminated infection caused by MAC in a kidney transplant recipient who presented with abdominal pain, fever and generalized intra-abdominal lymphadenopathy. [ABSTRACT FROM AUTHOR]