Abstract

Retrospective molecular genetic analysis of 166 Mycobacterium intracellulare isolates showed that 143 (86%) strains could be assigned to Mycobacterium chimaera sp. nov. Of 97 patients from whom M. chimaera sp. nov. was isolated, only 3.3% exhibited mycobacterial lung disease, whereas all M. intracellulare isolates caused severe pulmonary infections.

Highlights

  • Bacteria of the Mycobacterium avium complex (MAC) play an important role among infections caused by nontuberculous mycobacteria (NTM)

  • We tested the application of denaturating high-performance liquid chromatography (DHPLC) for the identification of the internal transcribed spacer (ITS) PCR product to distinguish M. intracellulare, type strain, and M. chimaera sp. nov

  • Our results show that M. chimaera sp. nov. accounts for most of the mycobacterial isolates formerly classified as M. intracellulare

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Summary

Introduction

Bacteria of the Mycobacterium avium complex (MAC) play an important role among infections caused by nontuberculous mycobacteria (NTM). Are sparse, we performed a retrospective study to determine the frequency of its occurrence within the group of MAC-positive clinical specimens and its possible role in causing human disease in comparison to M. intracellulare. We reanalyzed mycobacterial isolates from 97 in-house patients of the Charité University Hospital that have been processed in our laboratory from 2002 through 2006. We tested the application of denaturating high-performance liquid chromatography (DHPLC) for the identification of the ITS PCR product to distinguish M. intracellulare, type strain, and M. chimaera sp.

Results
Conclusion
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