Disseminated Mycobacterium fortuitum Infection Associated with Venous Access Device.
Loading...
Date
2015-04
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Mycobacterium fortuitum is an important opportunistic pathogen among the rapidly growing Mycobacteria. Disseminated disease occurs as a
consequence of bacteremia linked to vascular catheters, which carry high morbidity and mortality when they occur in immuno-compromised
patients. Conventional culture methods often miss these organisms since they may grow more slowly (after 48 h) and are dismissed as skin
contaminants because of their morphological resemblance to diphtheroids on grams staining. We report a case of 10 months old child with
primitive neuroectodermal tumor who developed disseminated disease with M. fortuitum that was related to an indwelling intravascular
device. The isolates were confirmed as M. fortuitum by polymerase chain reaction based DNA sequencing targeting heat shock protein
65 gene. The child was treated with, rifampicin, ethambutol and azithromycin. The patient improved remarkably and became afebrile 2 days
after institution of therapy and removal of the catheter. The treatment was given for 3 months.
Description
Keywords
DNA sequencing, Intravascular device, Mycobacterium fortuitum
Citation
Thayanidhi Premamalini, Mariappan Shanthi, Sekar, Sridharan Kopula Sathyamurthy, Rajendran Aruna. Disseminated Mycobacterium fortuitum Infection Associated with Venous Access Device. IJSS Case Reports & Reviews. 2015 Apr; 1(11): 66-69.