Mycobacterium avium Pulmonary Disease with Non-Specific Chest

A 20-year-old female without immune-compromise was referred to our clinic complaining of cough with hemoptysis. Chest radiology showed multiple small lung nodules at the upper lobe of bilateral lung. After received regular anti-tuberculosis therapy and experiential anti-fungal therapy, the lesions in lung get worse. The biopsy was pursued and the diagnosis was made through lung tissue-based mycobacterial culture. It is difficult to differentiate Mycobacterium avium pulmonary disease with non-specific imaging findings from lung fungal infection and pulmonary tuberculosis.