Non-tuberculous mycobacteria masquerading as aspiration pneumonia in patients with gastrointestinal problems

The association between non-tuberculous mycobacterial pulmonary disease and achalasia, although previously documented in the respiratory literature, is not well recognised generally. We present a case of a femate who presents with weight toss, cough and radiological findings of aspiration pneumonia and achalasia. A discussion of mechanisms for this association are presented. (c) 2006 Elsevier Ltd. All rights reserved.