International Journal For Multidisciplinary Research
E-ISSN: 2582-2160
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Volume 8 Issue 5
September-October 2026
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Detection of Nontuberculous Mycobacteria by MALDI-TOF MS and Its Co-infection with Mycobacterium Tuberculosis
| Author(s) | Mahima Chouhan, Dr. Jayant Ramawat, Dr. Prabhu Prakash |
|---|---|
| Country | India |
| Abstract | Introduction: Coinfection of MTB complex with NTM is increasingly recognised in TB endemic countries, which may remain undiagnosed or coexist with pulmonary TB, resulting in diagnostic and therapeutic challenges. Methods: An observational study was conducted in a tertiary care centre, which included suspected NTM pulmonary disease patients’ LJ culture isolates. Patients were of all age groups and both sexes. Detection of co-infections was via CBNAAT and/or LPA and MALDI-TOF Mycobacterial/Nocardia Kit. Results: Among 55 patients with suspected NTM pulmonary disease, 10 NTM isolates (18.2%; 10/55) were identified by MALDI-TOF MS. The identified species were Mycobacterium kansasii (n=4; 40%), Mycolicibacterium fortuitum (n=4; 40%), and Mycolicibacterium wolinskyi (n=2; 20%). MTB–NTM coinfection was detected in 4/10 (40.0%) NTM-positive patients, corresponding to 4/55 (7.3%) of the total study population. Of these four coinfected patients, two were MTB-positive by CBNAAT and rifampicin-sensitive, while the remaining two were positive by first-line LPA and were sensitive to both rifampicin and isoniazid. Among the coinfected patients, M. fortuitum accounted for 2/4 (50%), while M. kansasii and M. wolinskyi accounted for 1/4 (25%) each. Conclusion: NTM infection along with MTB–NTM coinfection was low among TB-suspected patients. Identification by the MALDI-TOF MS of suspected NTM pulmonary disease diagnosis enables rapid and accurate species identification and improves recognition of NTM infections in TB-endemic areas and potentially reduces morbidity. |
| Keywords | Tuberculosis, Nontuberculous mycobacteria, MTB–NTM coinfection, MALDI-TOF MS, Mycobacterium fortuitum, Mycobacterium kansasii, Mycobacterium wolinskyi. |
| Field | Biology > Medical / Physiology |
| Published In | Volume 8, Issue 5, September-October 2026 |
| Published On | 2026-10-18 |
| DOI | https://doi.org/10.36948/ijfmr.2026.v08i05.87530 |
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E-ISSN 2582-2160
CrossRef DOI prefix of IJFMR is 10.36948/ijfmr
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