Diagnosis

There are no specific skin tests standardized for NTM. Microscopic Examination

Because nontuberculous mycobacteria are transiently present in the sputum, three or more sputum samples should be evaluated for acid-fast bacilli. Bronchial washing is a better sample. A fine needle aspiration performed from the lymph nodes may yield NTM on cultures and show granulomatous changes on cytology. The two commonly used stains are the Ziehl-Neelsen stain (sensitivity 50-60%) and auramine-rhodamine (sensitivity 80%).

Culture

Culture still remains the gold standard in diagnosing mycobacterial infections,[12] which, besides being more

Table 2 Clinical syndromes associated with NTM

Syndrome

Common

Less frequent

Pulmonary disease

M. avium complex, M. kansasii, M. abscessus,

Mycobacterium celatum, M. simiae,

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

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