## **Core Concept**
Mycobacterium avium complex (MAC) is a type of nontuberculous mycobacterial infection that primarily affects immunocompromised individuals, such as those with HIV/AIDS. The treatment of MAC typically involves a combination of antibiotics to effectively manage the infection.
## **Why the Correct Answer is Right**
The correct approach to treating MAC involves using a combination of drugs that have demonstrated efficacy against the complex. Commonly used drugs include **azithromycin**, **rifampicin**, and **ethambutol**. These drugs work by inhibiting cell wall synthesis or protein synthesis in the bacteria, ultimately leading to their death. The choice of **azithromycin** is particularly notable due to its macrolide mechanism, which is effective against MAC.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option might include a drug like **azithromycin**, which is indeed used in the treatment of MAC.
- **Option B:** This could be **rifampicin**, another drug used in combination therapy for MAC.
- **Option C:** Possibly **ethambutol**, which is also part of the standard treatment regimen for MAC.
- **Option D:** This might be a drug not typically used for MAC, such as **dapsone**, which is more commonly associated with the treatment of leprosy.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that the treatment of MAC often involves a combination of **azithromycin, rifampicin, and ethambutol**. It's crucial to remember that **azithromycin** is a preferred macrolide for MAC due to its efficacy and once-weekly dosing, which enhances compliance.
## **Correct Answer:** D. Dapsone.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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