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Editorial
. 2012 Nov 1;186(9):822-3.
doi: 10.1164/rccm.201208-1500ED.

Treatment of Mycobacterium abscessus: all macrolides are equal, but perhaps some are more equal than others

Editorial

Treatment of Mycobacterium abscessus: all macrolides are equal, but perhaps some are more equal than others

Jason E Stout et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Mechanism of macrolide action and inducible macrolide resistance. (A) Macrolide antibiotics bind to the 23S ribosomal RNA, preventing bacterial protein synthesis. Expression of erm (erythromycin resistance methylase) proteins in response to macrolides leads to modification of their ribosomal binding site and induction of macrolide resistance. (B) Induction of erm(41) and subsequent macrolide resistance is greater after exposure to clarithromycin (CLR) than to azithromycin (AZM) in Mycobacterium abscessus subspecies. However, neither macrolide can induce resistance in M. massiliense, because it carries a defective erm(41) gene.

Comment on

References

    1. Chan ED, Bai X, Kartalija M, Orme IM, Ordway DJ. Host immune response to rapidly growing mycobacteria, an emerging cause of chromic lung disease. Am J Respir Cell Mol Biol 2010;43:387–393 - PubMed
    1. Thomson RM. Changing epidemiology of pulmonary nontuberculous mycobacteria infections. Emerg Infect Dis 2010;16:1576–1583 - PMC - PubMed
    1. Lai CC, Tan CK, Chou CH, Hsu HL, Liao CH, Huang YT, Yang PC, Luh KT, Hsueh PR. Increasing incidence of nontuberculous mycobacteria, Taiwan, 2000–2008. Emerg Infect Dis 2010;16:294–296 - PMC - PubMed
    1. Prevots DR, Shaw PA, Strickland D, Jackson LA, Raebel MA, Blosky MA, Montes de Oca R, Shea YR, Seitz AE, Holland SM, et al. Nontuberculous mycobacterial lung disease prevalence at four integrated health care delivery systems. Am J Respir Crit Care Med 2010;182:970–976 - PMC - PubMed
    1. Jarand J, Levin A, Zhang L, Huitt G, Mitchell JD, Daley CL. Clinical and microbiologic outcomes in patients receiving treatment for mycobacterium abscessus pulmonary disease. Clin Infect Dis 2011;52:565–571 - PubMed