A case of Mycobacterium mucogenicum infection in a liver transplant recipient and a review of the literature.
Transpl Infect Dis
; 15(6): E260-3, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24131754
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Terapia de Imunossupressão
/
Micobactérias não Tuberculosas
/
Infecções por Mycobacterium não Tuberculosas
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article