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Mycobacterium cosmeticum catheter-related bloodstream infection in an immunocompetent patient: A case report and review of the literature.
Turock, Julia S; Matysiak Match, Colette J; Adachi, Kristina; Nielsen-Saines, Karin; Yang, Shangxin; Malhotra, Sanchi.
Afiliación
  • Turock JS; University of California Los Angeles, Department of Pediatrics, Division of Hospital Medicine, Los Angeles, CA, USA.
  • Matysiak Match CJ; University of California Los Angeles, Department of Pathology and Laboratory Medicine, Los Angeles, CA, USA.
  • Adachi K; University of California Los Angeles, Department of Pediatrics, Division of Infectious Diseases, Los Angeles, CA, USA.
  • Nielsen-Saines K; University of California Los Angeles, Department of Pediatrics, Division of Infectious Diseases, Los Angeles, CA, USA.
  • Yang S; University of California Los Angeles, Department of Pathology and Laboratory Medicine, Los Angeles, CA, USA.
  • Malhotra S; University of California Los Angeles, Department of Pediatrics, Division of Infectious Diseases, Los Angeles, CA, USA.
IDCases ; 37: e02051, 2024.
Article en En | MEDLINE | ID: mdl-39193404
ABSTRACT

Background:

Mycobacterium cosmeticum is an emerging rapidly growing mycobacteria (RGM) species that has been rarely reported to cause human disease. RGM catheter-related bloodstream infections (CRBSI) are often challenging to treat given the need for line removal, variable species-dependent antimicrobial susceptibility, combination antimicrobial treatment, and historically longer courses of antibiotics. Case presentation We present a case of an immunocompetent pediatric patient with severe hemophilia B and M. cosmeticum CRBSI. While the patient's hemophilia B precluded a standard line holiday, he successfully cleared his infection with two line exchanges followed by two weeks of antibiotics.

Conclusions:

RGM, including emerging species M. cosmeticum, may be considered in patients with an indolent presentation of CRBSI. Our case suggests source control with shorter courses of antimicrobials can be successful.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: IDCases Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: IDCases Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos