![]() ![]() Patients with predisposing medical disease, such as bronchiectasis, are at higher risk for acquiring this infection. Infections typically present in lung, skin and soft tissue but disseminated (blood) infections can also occur. MAI are commonly found in the environment but can cause infections in the human host. Routine bacteriology media was negative for growth, however 7H11 Middlebrook agar was positive for colonies, which were identified as Mycobacterium avium intracellulare Complex (MAI). ![]() Bacteriology culture consisted of plating the BAL on agar media such as chocolate, blood and MacConkey agar for bacteria and 7H11 Middlebrook agar for mycobacteria. BAL is a procedure where sterile liquid is injected deep into lung tissue and retrieved for further analysis. Upon her admission a chest x-ray and computerized tomography (CT) scan was performed.īased on the clinical presentation of the patient, a bronchoalveolar lavage (BAL) specimen was obtained for bacterial culture. Patient has a past medical history of persistent cough and excess phlegm or sputum (bronchiectasis). A 76-year-old female is admitted to the pulmonary unit in the hospital due to shortness of breath, recurrent cough, fatigue and weight loss. ![]()
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