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Mycobacterium Avium Intracellulare x40
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Mycobacterium Avium Intracellulare x40

Histiocyte(black arrow) characteristic of those found with MAI
The presence of this finding is not diagnostic of MAI but should raise an index of suspicion particularly in an immunodeficiant host
Similar histiocytes are found in Whipple's Disease in H&E stained sections
(Description By:Martin Nadel, M.D. )
(Image Contrib. by:Martin Nadel, M.D. UCHC )
Mycobacterium Avium Complex Infection
Etiology

Mycobacterium avium and other closely associated organisms including M. intracellulare, and M. scrofulaceum, ubiquitous in the environment.
Pathogenesis

Organisms disseminate throughout the body
Accumulate within macrophages in the lamina propria,
Epidemiology

Found in immunocompromised host, specifically patients with HIV infection.
General Gross Description

May appear normal.
General Microscopic Description

Macrophages within lamina propria contain foamy macrophages.
Numerous organisms can be identified within the macrophages with acid fast stains
Little to no inflammatory response.
Superficial resembalnce to Whipple's disease
Clinical Correlation

Part of disseminated disease.
Drug regimens to treat as well as prevent disease available.
References

Diagnostic Surgical Pathology, 2d edition, Sternberg SS (ed). Philadelphia: Lippincott-Raven,1996, pp. 1335.
Mycobacterium Avium Complex Infection
Synopsis by: Melinda Sanders M.D. (T64000E20170)[530]
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