Mycobacterium tuberculosis Versus Nontuberculous Mycobacterial Infection of the Lung in AIDS Patients: CT and HRCT Patterns

1997 ◽  
Vol 21 (2) ◽  
pp. 312-317 ◽  
Author(s):  
Jean-Pierre Laissy ◽  
Mehdi Cadi ◽  
Anne Cinqualbre ◽  
Zinn E. Boudiaf ◽  
Sylvie Lariven ◽  
...  
Chest Imaging ◽  
2019 ◽  
pp. 221-226
Author(s):  
Santiago Martínez-Jiménez

Non-tuberculous mycobacteria (NTM), other than Mycobacterium tuberculosis (TB) may produce pulmonary infection. NTMI is typically an indolent infection except in immunocompromised and HIV infected patients. Imaging plays a crucial role in suggesting NTMI as a possible diagnosis in this patient population. Always consider classic or cavitary NTMI in patients with upper lobe cavitary disease similar to active cavitary TB. However, in such cases TB must always be excluded. In elderly white women, persistent right middle lobe/lingular atelectasis, bronchiectasis or consolidation should suggest the diagnosis of bronchiectactic NTMI. In patients with imaging findings of subacute hypersensitivity pneumonitis, the radiologist must review the history and consult with the clinician in order to identify the triggering allergen, including NTM which is associated with indoor hot tubs.


2005 ◽  
Vol 40 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Charles R. Esther ◽  
Marianna M. Henry ◽  
Paul L. Molina ◽  
Margaret W. Leigh

2012 ◽  
Vol 19 (5) ◽  
pp. 723-730 ◽  
Author(s):  
Xiaoman Li ◽  
Wei Xu ◽  
Sidong Xiong

ABSTRACTTuberculosis (TB) caused byMycobacterium tuberculosisremains a major infectious disease worldwide. Moreover, latentM. tuberculosisinfection is more likely to progress to active TB and eventually leads to death when HIV infection is involved. Thus, it is urgent to develop a novel TB vaccine with immunogenicity to bothM. tuberculosisand HIV. In this study, four uncharacterized T cell epitopes from MPT64, Ag85A, Ag85B, and TB10.4 antigens ofM. tuberculosiswere predicted, and HIV-1-derived p24, an immunodominant protein that can induce protective responses to HIV-1, was used as an immunogenic backbone.M. tuberculosisepitopes were incorporated separately into the gene backbone of p24, forming a pP24-Mtb DNA vaccine. We demonstrated that pP24-Mtb immunization induced a strongM. tuberculosis-specific cellular response as evidenced by T cell proliferation, cytotoxicity, and elevated frequency of gamma interferon (IFN-γ)-secreting T cells. Interestingly, a p24-specific cellular response and high levels of p24-specific IgG were also induced by pP24-Mtb immunization. When the protective effect was assessed after mycobacterial challenge, pP24-Mtb vaccination significantly reduced tissue bacterial loads and profoundly attenuated the mycobacterial infection-related lung inflammation and injury. Our findings demonstrated that the pP24-Mtb tuberculosis vaccine confers effective protection against mycobacterial challenge with simultaneously elicited robust immune responses to HIV-1, which may provide clues for developing novel vaccines to prevent dual infections.


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