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Doody's Review ServiceReviewer: David Louie Dworzack, MD (Creighton University Medical Center)
Description: This is an update of a book last published in 1994 covering general concepts and organ system manifestations of tuberculosis (TB), and reviewing nontuberculous mycobacteria (NTM).
Purpose: An extensive presentation of updated knowledge about the epidemiology, pathophysiology, diagnosis, management, and the diverse clinical manifestations of TB is the goal of the first two sections. The aim of the NTM section is more to summarize. Except for MAI, chapters here are less detailed, but provide a more than adequate review which includes current information. The editor's overall goal is for this text to be helpful both in laboratory and for clinicians. These goals appear to have been admirably met.
Audience: The editor directs this text to research and clinical laboratories and to practitioners. The bulk of the information is clinical, however. Practitioners, especially in pulmonary and infectious diseases specialties, will benefit most. Residents will also find it useful as a reference. The editor has assembled exceptionally qualified contributors, most of whom are well-regarded by their peers.
Features: Part I includes chapters on general topics such as epidemiology, pathogenesis, and management. Rapid identification and susceptibility testing are current. New chapters on surgical therapy and contributions of health departments to management are welcome. Part II (organ system manifestations) is very complete, including rarely discussed areas like ear and skin infections. Separate chapters include discussion of pediatric, obstetric, and AIDS patients. Part III, concerning NTM infections, is divided into chapters with reviews of information about medically important species. Graphs and tables are quite understandable and x-rays reproduce well.
Assessment: This is a concise but detailed examination of TB and a less comprehensive review of NTM infections. A specific focus for each chapter in the TB sections enhances its usefulness as a reference. This expanded fourth edition is clearly warranted by the volume of new information that has emerged over the past few years.