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Last Updated: Oct 23, 2019
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Mycobacterium Avium Complex

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Dr. Jagdish Prasad MehrotraGeneral Physician • 49 Years Exp.MBBS, D.P.H
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MYCOBACTERIUM AVIUM COMPLEX

  • Caused by Bacteria M. avium "M.A.C." / M. intrracelulare "M.A.I"

  • MAC is a AIDS-defining condition.
  • MAC is common in persons having CD4 count <50 cell/mm.
  • Respiratory symptoms are not common in HIV -related MAC.
  • Mycobacterium avium complex or M. kansasii  dessiminated  or extramulmonary, almost any internal organ especially the Liver, Spleen, and Bone marrow
  • SYMPTOMS

  •  Night sweats

  • Fever
  • Weight loss
  • Diarrhoea
  • Low level of red and white blood cells.
  • High blood level of liver enzyme ( alkaline phosphatase)
  • Painful intestines.
  • Almost half of those with late -stage HIV disease (AIDS) are infected with the MAC bacteria, not all of those show symptoms of MAC.
  • Elevated alkaline phosphatase levels in blood tests can indicate MAC.
  • TREATMENT:

  • As advised by consulting physician  ( Clarithomycin, Azithromycin, Etambutol , Rifampin, Rifabutin, Ciprofloxacin, Amikacin

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