Mycobacterium malmoense was first described in 1977 and today is secon
d only to the Mycobacterium avium complex as a cause of atypical mycob
acterial infection in Sweden. We retrospectively studied the records o
f 221 patients from whom M. malmoense was isolated during 1968-1989. M
. malmoense was recovered from the respiratory tract of 171 patients (
170 adults and one child) and from cervical lymph nodes of 36 patients
(35 children and one adult). In addition, the organism was isolated f
rom the urine of six patients, one of whom had disseminated disease an
d two of whom had abscesses caused by M. malmoense. A majority of the
patients with pulmonary infection as well as the patient with dissemin
ated disease had other underlying diseases.