title: An esophageal mass with coexistent Mycobacterium chelonae and Candida albicans infections in an immunocompetent adult.
abstract: Mycobacteria chelonae was originally included in group IV of Runyon's classification of atypical mycobacteria. This rapidly growing environmental organism often caused infections in immunocompromised hosts. Candida albicans is a ubiquitous micro-organism and frequently isolated from the gastrointestinal tract. These two micro-organisms seldom cause esophageal diseases in healthy humans. We report a case of a fruit farmer with a submucosa tumor of distal esophagus caused by coexistence of M. chelonae and C. albicans infections, which was successfully treated by surgical resection and following antimicrobial regimens postoperatively.
authors.affiliation: Department of Surgery, National Taiwan University Hospital, College of Medicine, No. 7, Chung-Shan South Road, Taipei, Taiwan, ROC.
authors.forename: Hsao-Hsun
authors.initials: HH
authors.lastname: Hsu
authors.forename: Yih-Leong
authors.initials: YL
authors.lastname: Chang
authors.forename: Jin-Shing
authors.initials: JS
authors.lastname: Chen
authors.forename: Po-Ren
authors.initials: PR
authors.lastname: Hsueh
authors.forename: Yung-Chie
authors.initials: YC
authors.lastname: Lee
mesh_terms: D000328:Adult; D000583:Amikacin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000175:diagnosis*; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D007121:Immunocompetence; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D016926:Mycobacterium chelonae / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; D015378:Imipenem; D000583:Amikacin; D015725:Fluconazole