Mycobacterium lentiflavum as an emerging causative agent of cervical lymphadenitis.
A lymph node excision was performed on a 45-year-old woman with left cervical swelling. The disorder which developed after the patient had undergone oral surgery for a severe periodontal disease failed to respond to antimicrobial chemotherapy. A mycobacterial strain subsequently identified by high-performance liquid chromatography analysis of cell wall mycolic acids as Mycobacterium lentiflavum grew from the excised specimen. This case and previously published reports highlight the relevance of M. lentiflavum as an emerging causative agent of mycobacterial cervical lymphadenitis.
Piersimoni
Claudio
C
Department of Clinical Microbiology, United Hospitals, Via Conca 71, I-60020, Ancona, Italy. piersim@tin.it
Goteri
Gaia
G
Nista
Domenico
D
Mariottini
Alessandro
A
Mazzarelli
Gianna
G
Bornigia
Stefano
S
D001483:Base Sequence; D002473:Cell Wall / Q000737:chemistry; D002851:Chromatography, High Pressure Liquid; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D009161:Mycobacterium / Q000235:genetics / Q000302:isolation & purification* / Q000472:pathogenicity; D009171:Mycolic Acids / Q000032:analysis; D010641:Phenotype; D012329:RNA, Bacterial / Q000235:genetics; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D016415:Sequence Alignment; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000601:surgery
D009171:Mycolic Acids; D012329:RNA, Bacterial; D012336:RNA, Ribosomal, 16S