A Mysterious Gram-Positive Rods

المؤلفون المشاركون

Rahman, Atiq
Alkhalil, Bassel
Hamad, Yasir
Min, Zaw
Natsag, Javzandulam
Williams, Richard

المصدر

Case Reports in Infectious Diseases

العدد

المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-4، 4ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2012-08-22

دولة النشر

مصر

عدد الصفحات

4

التخصصات الرئيسية

الأمراض

الملخص EN

We encountered a patient with a history of intravenous drug use presenting with fever, malaise and nausea who was found to have cavitary lung lesions.

Unexpectedly, gram positive rods grew out on day five on multiple blood cultures, which were later identified as Mycobacterium fortuitum.

The patient underwent transesophageal echocardiogram, which showed aortic and tricuspid valve vegetations.

Liver biopsy demonstrated granulomatous hepatitis.

Interestingly, serum alkaline phosphatase level fell with antibiotic treatment.

Mycobacterium fortuitum is ubiquitous worldwide, being found in tap water, and soil.

M.

fortuitum is usually considered as a contaminant.

Disseminated infection caused by this bacterium in an immunocompetent host is extremely rare.

Most of the disseminated infections have been reported in immune-deficient patients.

In immunocompetent people, M.

fortuitum causes human infection primarily by direct inoculation, including localized post-traumatic and surgical wound infections, and catheter-related sepsis.

Our patient, an HIV-negative intravenous drug user, had Mycobacterium fortuitum sepsis associated with infective endocarditis, septic pulmonary emboli, and granulomatous hepatitis.

Interestingly, the patient admitted using tap water occasionally for mixing heroin when her sterile water ran out, which we thought was the likely source of M.

fortuitum.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Natsag, Javzandulam& Min, Zaw& Hamad, Yasir& Alkhalil, Bassel& Rahman, Atiq& Williams, Richard. 2012. A Mysterious Gram-Positive Rods. Case Reports in Infectious Diseases،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-502540

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Natsag, Javzandulam…[et al.]. A Mysterious Gram-Positive Rods. Case Reports in Infectious Diseases No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-502540

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Natsag, Javzandulam& Min, Zaw& Hamad, Yasir& Alkhalil, Bassel& Rahman, Atiq& Williams, Richard. A Mysterious Gram-Positive Rods. Case Reports in Infectious Diseases. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-502540

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-502540