During this shortage, it is recommended that amikacin be reserved for treatment of the Mycobacterium avium complex infections. This is one of the opportunistic infections suffered by people immunocompromised by an HIV infection. The incidence of these disseminated infections has been dropping for some time as more effective treatments result in a better-functioning immune system. You can find more details under Implications for Patient Care in the link in the caption.

Shortage of amikacin for injection

It is odd to me that they don’t mention cervical lymphadenitis in children, but it is pretty rare for it to be caused by MAC. By the time it has progressed to the point shown below, the lymph node must be surgically removed. It is quite possible that amikacin could prevent the inflammation of the lymph nodes from reaching this stage.