Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 12, Number 3, March 2020, pages 142-149


MAC Attack: Clinical Correlates of Mycobacterium avium Complex Infection Among Patients With and Without Cancer

Figures

Figure 1.
Figure 1. Patient cancer characteristics.
Figure 2.
Figure 2. Symptom and lab characteristics of patients by receipt of antibiotics.
Figure 3.
Figure 3. Radiologic findings of patients by receipt of antibiotics.

Tables

Table 1. Patient Characteristics Stratified by Any Cancer
 
Any cancerP value
TotalNoYes
Patients number550 (100)106 (19.3)444 (80.7)
Age at diagnosis (years), median (range)68.4 (17.2 - 93.4)71.8 (26.9 - 89.3)67.6 (17.2 - 93.4)0.028
Gender
  Male243 (44.2)28 (26.4)215 (48.4)< 0.001
  Female307 (55.8)78 (73.6)229 (51.6)
Race
  White455 (82.7)91 (85.8)364 (82)0.70
  Black19 (3.5)2 (1.9)17 (3.8)
  Asian56 (10.2)11 (10.4)45 (10.1)
  Other5 (0.9)0 (0)5 (1.1)
  Unknown15 (2.7)2 (1.9)13 (2.9)
Smoking status
  None239 (43.5)47 (44.3)192 (43.2)0.73
  Former280 (50.9)55 (51.9)225 (50.7)
  Current31 (5.6)4 (3.8)27 (6.1)
BMI, median (range)24.2 (12.3 - 57.0)24.2 (13.7 - 49.4)24.3 (12.3 - 57.0)0.79
Pre-existing lung disease
  Yes283 (51.5)66 (62.3)217 (48.9)0.017
  No267 (48.5)40 (37.7)227 (51.1)
MAC pulmonary infection
  Yes196 (35.6)65 (61.3)131 (29.5)< 0.001
  No354 (64.4)41 (38.7)313 (70.5)

 

Table 2. Overall Radiologic Findings
 
Diffuse parenchymal: ground glass opacities, airspace opacities, alveolar infiltrates, interstitial infiltrates, tree and bud infiltrates, mosaic pattern, mucus plugging, pulmonary edema, consolidation, emphysema, fibrosis, septal thickening. Focal parenchymal: nodule, mass, spiculated mass, granuloma, lung abscess. Pleural disease: pleural effusion, pleural thickening, hydropneumothorax, pneumothorax. Airway disease: atelectasis, bronchiectasis, endobronchial lesion, tracheomalacia, tracheobronchomalacia. Lymphadenopathy: mediastinal and hilar adenopathy.
Any radiology finding548 (99.6)
Diffuse parenchymal282 (51.3)
Focal parenchymal409 (74.4)
Cavitary32 (5.8)
Pleural disease49 (8.9)
Airway disease147 (26.7)
Lymphadenopathy85 (15.5)

 

Table 3. Association Between Patient Characteristics and Antibiotics Treatment
 
AntibioticsP value
NoYes
Age at diagnosis (years), median (range)68.8 (17.2 - 93.4)66.8 (22.3 - 88.7)0.47
Gender
  Male226 (45.1)17 (34.7)0.18
  Female275 (54.9)32 (65.3)
Race
  White408 (84)47 (95.9)0.20
  Black19 (3.9)0 (0)
  Asian54 (11.1)2 (4.1)
  Other5 (1)0 (0)
Smoking status
  None222 (44.3)17 (34.7)0.36
  Former250 (49.9)30 (61.2)
  Current29 (5.8)2 (4.1)
BMI, median (range)24.7 (12.3 - 57.0)21.5 (13.7 - 41.1)< 0.001
Pre-existing lung disease
  Yes248 (49.5)35 (71.4)0.004
  No253 (50.5)14 (28.6)
Any cancer
  Yes411 (82)33 (67.3)0.021
  No90 (18)16 (32.7)
MAC pulmonary infection
  Yes147 (29.3)49 (100)< 0.001
  No354 (70.7)0 (0)