A case of Mycobacterium mucogenicum infection in a liver transplant recipient and a review of the literature.
| Autor: | Maybrook RJ; Department of Internal Medicine, University of Kansas, Kansas City, Kansas, USA., Campsen J, Wachs ME, Levi ME |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Transplant infectious disease : an official journal of the Transplantation Society [Transpl Infect Dis] 2013 Dec; Vol. 15 (6), pp. E260-3. Date of Electronic Publication: 2013 Oct 17. |
| DOI: | 10.1111/tid.12154 |
| Abstrakt: | Bacterial, viral, and fungal infections can be devastating in a postoperative liver transplant recipient on multidrug immunosuppressive therapy. Various atypical (nontuberculous mycobacteria [NTM]) mycobacterial infections have been reported in the solid organ transplant population, but to our knowledge, no cases of Mycobacterium mucogenicum infections have been reported. Here, we report a case of a patient with end-stage liver disease secondary to primary biliary cirrhosis, model for end-stage liver disease score of 29, who underwent deceased-donor orthotopic liver transplantation, with her postoperative course complicated by multiple pleural effusions and peritonitis. Despite numerous courses of antibiotics, her condition did not improve. Acid-fast bacilli cultures grew M. mucogenicum, which was then treated with appropriate antimicrobical therapy. M. mucogenicum, a rapidly growing NTM that can be present in water contamination, should be recognized as a potential source of infection, especially in the immunocompromised population. (© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|