{"id":"https://openalex.org/W4415544765","doi":"https://doi.org/10.61386/imj.v18i4.818","title":"Non-Tuberculous Mycobacteria Infection in a Nigerian Teenager in Uyo; A Case Report","display_name":"Non-Tuberculous Mycobacteria Infection in a Nigerian Teenager in Uyo; A Case Report","publication_year":2025,"publication_date":"2025-10-01","ids":{"openalex":"https://openalex.org/W4415544765","doi":"https://doi.org/10.61386/imj.v18i4.818"},"language":"en","primary_location":{"id":"doi:10.61386/imj.v18i4.818","doi":"https://doi.org/10.61386/imj.v18i4.818","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v18i4.818","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/818/1415","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/818/1415","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5120133895","display_name":"D Ofonime","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133696","display_name":"University of Uyo Teaching Hospital","ror":"https://ror.org/03fr85h91","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210133696"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Ofonime D","raw_affiliation_strings":["Department of Paediatrics, University of Uyo Teaching Hospital, Uyo Akwa Ibom State, Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatrics, University of Uyo Teaching Hospital, Uyo Akwa Ibom State, Nigeria","institution_ids":["https://openalex.org/I4210133696"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120133896","display_name":"Ularinma EI","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133696","display_name":"University of Uyo Teaching Hospital","ror":"https://ror.org/03fr85h91","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210133696"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Ularinma EI","raw_affiliation_strings":["Department of Paediatrics, University of Uyo Teaching Hospital, Uyo Akwa Ibom State, Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatrics, University of Uyo Teaching Hospital, Uyo Akwa Ibom State, Nigeria","institution_ids":["https://openalex.org/I4210133696"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120133897","display_name":"Ndu EE","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210133696","display_name":"University of Uyo Teaching Hospital","ror":"https://ror.org/03fr85h91","country_code":"NG","type":"healthcare","lineage":["https://openalex.org/I4210133696"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Ndu EE","raw_affiliation_strings":["Department of Community Medicine, University of Uyo Teaching Hospital, Akwa Ibom State, Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Medicine, University of Uyo Teaching Hospital, Akwa Ibom State, Nigeria","institution_ids":["https://openalex.org/I4210133696"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070599315","display_name":"Bassey Emmanuel Akpan","orcid":"https://orcid.org/0000-0003-1420-4234","observed_orcids":["https://orcid.org/0000-0003-1420-4234"]},"institutions":[{"id":"https://openalex.org/I4403386704","display_name":"Abia State Polytechnic","ror":"https://ror.org/03rdf8k41","country_code":"NG","type":"education","lineage":["https://openalex.org/I4403386704"]}],"countries":["NG"],"is_corresponding":false,"raw_author_name":"Akpan B","raw_affiliation_strings":["Ministry of Health, Akwa Ibom State, Nigeria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ministry of Health, Akwa Ibom State, Nigeria","institution_ids":["https://openalex.org/I4403386704"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"4","first_page":"751","last_page":"754"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11316","display_name":"Mycobacterium research and diagnosis","score":0.9746000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11316","display_name":"Mycobacterium research and diagnosis","score":0.9746000170707703,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10038","display_name":"Tuberculosis Research and Epidemiology","score":0.009499999694526196,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12578","display_name":"Diagnosis and treatment of tuberculosis","score":0.004600000102072954,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nontuberculous-mycobacteria","display_name":"nontuberculous mycobacteria","score":0.871999979019165},{"id":"https://openalex.org/keywords/cervical-lymphadenitis","display_name":"cervical lymphadenitis","score":0.8849999904632568},{"id":"https://openalex.org/keywords/hiv-coinfection","display_name":"HIV coinfection","score":0.6930000185966492},{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.38999998569488525},{"id":"https://openalex.org/keywords/line-probe-assay","display_name":"line probe assay","score":0.7099999785423279},{"id":"https://openalex.org/keywords/azithromycin","display_name":"azithromycin","score":0.9509999752044678},{"id":"https://openalex.org/keywords/treatment-failure","display_name":"treatment failure","score":0.5040000081062317},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7559999823570251},{"id":"https://openalex.org/keywords/nigeria","display_name":"Nigeria","score":0.32899999618530273}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9168999791145325},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.7045999765396118},{"id":"https://openalex.org/C2778907293","wikidata":"https://www.wikidata.org/wiki/Q165399","display_name":"Azithromycin","level":3,"score":0.5735999941825867},{"id":"https://openalex.org/C2780867798","wikidata":"https://www.wikidata.org/wiki/Q1135705","display_name":"Rifabutin","level":4,"score":0.4975000023841858},{"id":"https://openalex.org/C2777975735","wikidata":"https://www.wikidata.org/wiki/Q130971","display_name":"Mycobacterium tuberculosis","level":3,"score":0.48730000853538513},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4530999958515167},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41499999165534973},{"id":"https://openalex.org/C2776452011","wikidata":"https://www.wikidata.org/wiki/Q311463","display_name":"Sida","level":4,"score":0.3707999885082245},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.36640000343322754},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.36480000615119934},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C2776967927","wikidata":"https://www.wikidata.org/wiki/Q423169","display_name":"Isoniazid","level":3,"score":0.325300008058548},{"id":"https://openalex.org/C2779768787","wikidata":"https://www.wikidata.org/wiki/Q6985524","display_name":"Neck mass","level":2,"score":0.3248000144958496},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.3140000104904175},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.3127000033855438},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31119999289512634},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.3091999888420105},{"id":"https://openalex.org/C2780727368","wikidata":"https://www.wikidata.org/wiki/Q1928978","display_name":"Viral disease","level":3,"score":0.3050000071525574},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.30160000920295715},{"id":"https://openalex.org/C761482","wikidata":"https://www.wikidata.org/wiki/Q118093","display_name":"Transmission (telecommunications)","level":2,"score":0.30070000886917114},{"id":"https://openalex.org/C2778607973","wikidata":"https://www.wikidata.org/wiki/Q422652","display_name":"Rifampicin","level":3,"score":0.2962000072002411},{"id":"https://openalex.org/C2779341262","wikidata":"https://www.wikidata.org/wiki/Q182581","display_name":"Immunity","level":3,"score":0.2904999852180481},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.28850001096725464},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.28700000047683716},{"id":"https://openalex.org/C2778549279","wikidata":"https://www.wikidata.org/wiki/Q962200","display_name":"Cervical lymph nodes","level":4,"score":0.28529998660087585},{"id":"https://openalex.org/C2993769353","wikidata":"https://www.wikidata.org/wiki/Q7598360","display_name":"Standard of care","level":2,"score":0.2838999927043915},{"id":"https://openalex.org/C2993493390","wikidata":"https://www.wikidata.org/wiki/Q5453208","display_name":"First line","level":2,"score":0.2694000005722046},{"id":"https://openalex.org/C2779196057","wikidata":"https://www.wikidata.org/wiki/Q835718","display_name":"Opportunistic infection","level":4,"score":0.2597000002861023},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2587999999523163}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.61386/imj.v18i4.818","doi":"https://doi.org/10.61386/imj.v18i4.818","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v18i4.818","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/818/1415","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:caa68c62cb024c8dada4c152bcb605e6","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/caa68c62cb024c8dada4c152bcb605e6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Ibom Medical Journal, Vol 18, Iss 4 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.61386/imj.v18i4.818","doi":"https://doi.org/10.61386/imj.v18i4.818","is_oa":true,"landing_page_url":"https://doi.org/10.61386/imj.v18i4.818","pdf_url":"https://ibommedicaljournal.org/index.php/imjhome/article/download/818/1415","source":{"id":"https://openalex.org/S4394736467","display_name":"Ibom Medical Journal","issn_l":"1597-7188","issn":["1597-7188","2735-9964"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ibom Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415544765.pdf","grobid_xml":"https://content.openalex.org/works/W4415544765.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7128766719","https://openalex.org/W2154025951","https://openalex.org/W2129829768","https://openalex.org/W1680755106","https://openalex.org/W1985577398","https://openalex.org/W2582226745","https://openalex.org/W2065307387","https://openalex.org/W2894843501","https://openalex.org/W2171550911","https://openalex.org/W2077536684"],"abstract_inverted_index":{"Non-Tuberculous":[0],"Mycobacteria":[1],"are":[2],"species":[3],"other":[4],"than":[5],"the":[6,37,98,110,156],"Mycobacterium":[7],"tuberculosis":[8],"complex":[9],"which":[10,52],"cause":[11],"a":[12,61,68,161,212],"wide":[13],"range":[14],"of":[15,46,76,84,115,133,142,164,173,181,185,217],"diseases":[16],"(excluding":[17],"leprosy)":[18],"in":[19,34,153,220],"children":[20],"and":[21,81,93,100,106,127,167,177,201],"adults":[22],"especially":[23,194],"those":[24],"with":[25,36,74,131,170],"interruptions":[26],"to":[27,55,67,113,120,155,206],"their":[28],"cell":[29],"mediated":[30],"immunity":[31],"as":[32,149],"seen":[33],"patients":[35,191],"Human":[38],"Immunodeficiency":[39],"Virus":[40],"(HIV).":[41],"The":[42],"most":[43],"common":[44],"manifestation":[45],"this":[47],"infection":[48],"is":[49,60,187,210],"cervical":[50,199],"lymphadenitis":[51],"may":[53],"rupture":[54],"form":[56],"ulcers.":[57],"Our":[58],"patient":[59],"17-year-old":[62],"teenager":[63],"who":[64],"presented":[65],"initially":[66],"primary":[69],"health":[70],"care":[71],"centre":[72],"(PHC)":[73],"complaints":[75],"neck":[77,134],"swellings/ulcers,":[78],"weight":[79],"loss,":[80],"recurrent":[82],"fever":[83],"18":[85],"months":[86],"duration.":[87],"She":[88],"tested":[89],"positive":[90],"for":[91,192,214],"HIV":[92,105],"TB":[94,107,125,168],"(gene":[95],"expert)":[96],"at":[97,109],"PHC":[99],"was":[101,118,140,146,151],"commenced":[102],"on":[103],"standard":[104,207],"medications":[108,126],"PHC.":[111],"Due":[112],"persistence":[114],"symptoms,":[116],"she":[117],"referred":[119],"our":[121],"facility,":[122],"where":[123],"repeat":[124],"antibiotics":[128],"were":[129],"administered":[130],"non-resolution":[132],"swellings/ulcers.":[135],"Line":[136],"probe":[137],"assay":[138],"done":[139,148],"suggestive":[141],"non-Tuberculous":[143],"Mycobacterium.":[144],"Culture":[145],"not":[147,203],"sample":[150],"lost":[152],"transit":[154],"reference":[157],"lab.":[158],"Patient":[159],"received":[160],"six-month":[162],"course":[163],"Oral":[165],"Azithromycin":[166],"medication":[169],"surgical":[171],"excision":[172],"affected":[174],"lymph":[175],"nodes":[176],"showed":[178],"marked":[179],"resolution":[180],"symptoms.":[182],"High":[183],"Index":[184],"suspicion":[186],"needed":[188],"when":[189,195],"evaluating":[190],"TB,":[193],"they":[196],"have":[197],"significant":[198],"lymphadenopathy/ulcers":[200],"do":[202],"respond":[204],"adequately":[205],"therapy.":[208],"There":[209],"also":[211],"need":[213],"increased":[215],"availability":[216],"culture":[218],"facilities":[219],"resource-challenged":[221],"countries":[222],"like":[223],"ours.":[224]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2025-10-25T00:00:00"}