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We read with interest the report by Bachmeyer et al on Mycobacterium xenopi pulmonary infection manifesting in an HIV infected patient after receiving highly active antiretroviral treatment (HAART).1 The diagnosis was made based on clinical, radiological, and histological findings of a granuloma in addition to one sputum specimen growing M xenopi. We think that the patient may meet the criteria set by the ATS for diagnosis and treatment of disease caused by non-tuberculous mycobacteria (NTM) but, according to this guideline, these recommendations fit best for M avium complex, M kansasii, and M abscessus. Too little is known about other NTM …
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