As environmental opportunistic pathogens, nontuberculous mycobacteria (NTM) can cause severe and difficult to treat pulmonary disease. In the United States, Hawai'i has the highest prevalence of infection. Rapid growing mycobacteria (RGM) such as and and the slow growing mycobacteria (SGM) including subspecies are common environmental NTM species and subspecies in Hawai'i.
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