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Mycobacterium Fortuitum


Presentation

  • Orbital infection with nontuberculous mycobacteria is rare and usually presents as an inflammatory process.[ncbi.nlm.nih.gov]
Fever
  • No episodes of fever occurred during the follow-up to date. RGM infections remain a challenging issue for TIVAPs.[ncbi.nlm.nih.gov]
  • She was treated with intravenously administered vancomycin, but continued to manifest intermittent fever with persistently positive CSF gram stains.[thejns.org]
Inguinal Hernia
  • Two cases of Mycobacterium fortuitum infection occurred in a prospective study of inguinal hernia prosthesis repairs.[ncbi.nlm.nih.gov]
  • Herein, we report three cases of M. fortuitum infection following inguinal hernia repair with mesh. Keywords: Inguinal hernia repair, mesh, Mycobacterium fortuitum How to cite this article: Suseela KV, Ashok ON, Sathiavathy KA.[jacmjournal.org]
  • Case Report A 54-year-old male with left-sided inguinal hernia with cholelithiasis had undergone laparoscopic surgery in a private clinic, for both ailments in a single setting.[mjdrdypu.org]
Vietnamese
  • Here, we present an immunocompetent patient with extensive Mycobacterium fortuitum skin and soft tissue infections after subcutaneous injections to relieve joint pains by a Vietnamese traditional medicine practitioner.[ncbi.nlm.nih.gov]
  • Keywords: nail diseases pedicure sanitation Watsonville Leave a Comment Related Videos Featured Products & Promotions Advertisement VietSALON FREE Subscription VietSalon is a Vietnamese-language magazine and the sister publication to NAILS.[nailsmag.com]
  • For the past 2 years she experienced numbness in both hands and feet, which was the reason for consulting a Vietnamese traditional medicine practitioner 15 days prior to admission.[bmcinfectdis.biomedcentral.com]
Soft Tissue Swelling
  • We report a case of localized recurrent soft tissue swelling of the foot by Mycobacterium fortuitum in a healthy adult male. The case is being reported for its uncommon clinical presentation and the associated etiological agent.[ncbi.nlm.nih.gov]
Varicella-Zoster Virus Infection
  • Here, we report a case of Mycobacterium fortuitum infection in a previously healthy 9-year-old patient who developed cervical lymphadenitis evolving to a suppurative ulcer associated with a varicella-zoster virus infection.[ncbi.nlm.nih.gov]
Pleural Effusion
  • To our knowledge, this is the first reported case of haemorrhagic pleural effusion in an immunocompetent patient without underlying diseases.[ncbi.nlm.nih.gov]
  • The computed tomogram scan of chest revealed bilateral infiltrates with consolidation involving bilateral lower lobes, along with a small right pleural effusion.[journals.lww.com]
  • Previously rare, cases of peritonitis in dialysis patients, catheter-associated sepsis, pulmonary infection, and pleural effusion, including empyema, are now on the increase ( 2, 6, 7 ).[jcm.asm.org]
Pleural Effusion
  • To our knowledge, this is the first reported case of haemorrhagic pleural effusion in an immunocompetent patient without underlying diseases.[ncbi.nlm.nih.gov]
  • The computed tomogram scan of chest revealed bilateral infiltrates with consolidation involving bilateral lower lobes, along with a small right pleural effusion.[journals.lww.com]
  • Previously rare, cases of peritonitis in dialysis patients, catheter-associated sepsis, pulmonary infection, and pleural effusion, including empyema, are now on the increase ( 2, 6, 7 ).[jcm.asm.org]
Respiratory Distress
  • He was febrile, toxic-looking and was in respiratory distress. Clinically, he had a right pleural effusion and gross hepatomegaly. The patient was lymphopaenic and had deranged liver function test.[ncbi.nlm.nih.gov]
  • His postnatal course was complicated by respiratory distress syndrome, requiring intubation, ventilation and 1 dose of surfactant.[journals.lww.com]
Hepatomegaly
  • Clinically, he had a right pleural effusion and gross hepatomegaly. The patient was lymphopaenic and had deranged liver function test. Repeat paired blood cultures were positive for M. fortuitum.[ncbi.nlm.nih.gov]
Diplopia
  • We report a case of a 34-year-old male hospital worker with a positive purified protein derivative skin test who had Mycobacterium fortuitum infection that presented as an orbital mass causing diplopia.[ncbi.nlm.nih.gov]
  • She continued to manifest headaches and diplopia after 2 weeks of treatment, despite no growth of any organism (including acid-fast bacilli) on CSF cultures. Shortly thereafter, the first culture demonstrated growth of an acid-fast organism.[thejns.org]
Myalgia
  • Although patient's arthralgias and myalgias resolved, worsening cough with productive sputum, increased fever, and shortness of breath prompted him to visit the emergency room.[journals.lww.com]
Arthralgia
  • Although patient's arthralgias and myalgias resolved, worsening cough with productive sputum, increased fever, and shortness of breath prompted him to visit the emergency room.[journals.lww.com]
Skin Ulcer
  • […] pulmonary disease: the commonest atypical mycobacterial infection caused by M. kansasii or M. avium-intracellulare commonest in white males over 45 years with pre-existing lung disease lymphadenitis: a disease of childhood caused by M. avium-intracellulare skin[gpnotebook.co.uk]
Neck Swelling
  • A 31-year-old African man with a blameless medical history presented with an enlarging neck swelling of 6 months duration. He was systemically well with normal heamatobiochemistry.[ncbi.nlm.nih.gov]
Neck Stiffness
  • On examination neck stiffness noticed with normal haemogram and chest X-ray. CSF microscopy was normal and no growth seen in aerobic culture. CT scan showed loculated lesion.[ncbi.nlm.nih.gov]
Seizure
  • A 14-year-old male child presented with high grade intermittent fever with altered sensorium since 5-6 days and generalised seizures. On examination neck stiffness noticed with normal haemogram and chest X-ray.[ncbi.nlm.nih.gov]
  • Case Report A 14-year-old young male child belonging to middle socioeconomic status presented with high-grade intermittent fever with altered sensorium since 5-6 days and generalised seizures since last 2 days.[ijmm.org]

Workup

Right Pleural Effusion
  • Clinically, he had a right pleural effusion and gross hepatomegaly. The patient was lymphopaenic and had deranged liver function test. Repeat paired blood cultures were positive for M. fortuitum.[ncbi.nlm.nih.gov]
  • The computed tomogram scan of chest revealed bilateral infiltrates with consolidation involving bilateral lower lobes, along with a small right pleural effusion.[journals.lww.com]
Mycobacterium Chelonae
  • The patient underwent multiple debridement, and subsequent tissue grew Mycobacterium chelonae and Mycobacterium fortuitum.[ijmm.org]
  • Among them, the rapidly growing organisms such as Mycobacterium chelonae, Mycobacterium fortuitum and Mycobacterium abscessus are widespread in nature and in hospital environments [16].[medical-dictionary.thefreedictionary.com]
Pleural Effusion
  • To our knowledge, this is the first reported case of haemorrhagic pleural effusion in an immunocompetent patient without underlying diseases.[ncbi.nlm.nih.gov]
  • The computed tomogram scan of chest revealed bilateral infiltrates with consolidation involving bilateral lower lobes, along with a small right pleural effusion.[journals.lww.com]
  • Previously rare, cases of peritonitis in dialysis patients, catheter-associated sepsis, pulmonary infection, and pleural effusion, including empyema, are now on the increase ( 2, 6, 7 ).[jcm.asm.org]
Pleural Effusion
  • To our knowledge, this is the first reported case of haemorrhagic pleural effusion in an immunocompetent patient without underlying diseases.[ncbi.nlm.nih.gov]
  • The computed tomogram scan of chest revealed bilateral infiltrates with consolidation involving bilateral lower lobes, along with a small right pleural effusion.[journals.lww.com]
  • Previously rare, cases of peritonitis in dialysis patients, catheter-associated sepsis, pulmonary infection, and pleural effusion, including empyema, are now on the increase ( 2, 6, 7 ).[jcm.asm.org]

Treatment

  • Treatment was complicated by delayed diagnosis, requirement for special investigations, treatment with multiple antibiotics, and conversion to haemodialysis following removal of her Tenckhoff catheter.[ncbi.nlm.nih.gov]

Prognosis

  • Clinical observations, with special reference to factors influencing prognosis, Rev. Infect.[books.google.ro]
  • Mycobacterial infection Lipoid pneumonia Background Nontuberculous mycobacterial (NTM) infection, mainly causing pulmonary infections, has increasingly become a socially important disease affecting not only health-related quality of life but also the prognosis[bmcinfectdis.biomedcentral.com]
  • Mycobacterial infection, Lipoid pneumonia Background Nontuberculous mycobacterial (NTM) infection, mainly causing pulmonary infections, has increasingly become a socially important disease affecting not only health-related quality of life but also the prognosis[ncbi.nlm.nih.gov]

Etiology

  • This case demonstrates the importance of suspecting mycobacterial etiology in patients with nodules and abscesses in the areas of mesotherapy treatment.[ncbi.nlm.nih.gov]
  • These organisms are more often identified when the clinician suspects a more unusual etiology of infection because of poor response to standard antimicrobial therapy.[scholarworks.wmich.edu]
  • Mycobacterium fortuitum as a rare etiology of red breast syndrome: A case report and review of literature Annual Conference on MICROBIAL PATHOGENESIS, INFECTIOUS DISEASE, ANTIMICROBIALS AND DRUG RESISTANCE August 23-24, 2017 Toronto, Canada Benjamin O[imedpub.com]

Epidemiology

  • Herein is reported a case of native valve endocarditis caused by M. fortuitum; the epidemiology and management of this rare cause of culture-negative endocarditis is discussed.[ncbi.nlm.nih.gov]
  • Infection Control & Hospital Epidemiology ISSN: 0899-823X EISSN: 1559-6834 URL: /core/journals/infection-control-and-hospital-epidemiology[cambridge.org]
  • Epidemiology of pulmonary Nontuberculous Mycobacterial disease, Japan(1). Emerg Infect Dis. 2016;22:1116–7. View Article PubMed PubMed Central Google Scholar Prevots DR, Marras TK.[bmcinfectdis.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • A review of literature and a discussion of pathophysiologic, clinical, and therapeutic aspects are included. M. fortuitum should be considered in patients with esophageal disorders and associated pulmonary infiltrate.[journals.lww.com]

Prevention

  • Explorative laparoscopy prior to catheter reinsertion revealed multiple adhesions within the peritoneal cavity, preventing adequate catheter function.[ncbi.nlm.nih.gov]
  • Biosafety level 2 The 2007 guideline “Official American Thoracic Society (ATS) and Infectious Diseases Society of America (IDSA) statement: diagnosis, treatment, and prevention of non-tuberculosis mycobacterial diseases”, notes that M. fortuitum isolates[en.wikipedia.org]
  • The most recent estimates come from voluntary reports tracked by the Centers for Disease Control and Prevention (CDC).[emedicine.medscape.com]
  • Andrea Winquist (Centers for Disease Control and Prevention; Atlanta, GA), for her assistance.[academic.oup.com]

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