Disseminated Mycobacterium kansasii infection in an HIV-negative patient presenting with mimicking multiple bone metastases.
We report a patient with disseminated Mycobacterium kansasii infection, but with no underlying disease, presenting with mimicking multiple bone metastases with cancer of unknown primary site. Disseminated M. kansasii infection is rare in HIV-negative patients without underlying diseases. This patient had disseminated M. kansasii infection manifested with vertebral osteomyelitis, sacroiliitis, psoas abscess, bone marrow granuloma, liver granuloma, and possible spleen abscesses. The clinical manifestations are described and discussed in details.
Tsai
Ching-Wei
CW
Department of Internal Medicine, Far Eastern Memorial Hospital, Ban-Ciao, Taipei 220, Taiwan.
Wang
Jann-Tay
JT
Tsai
Chien-Chen
CC
Yeh
Kun-Huei
KH
D000328:Adult; D001706:Biopsy; D001850:Bone Diseases, Infectious / Q000175:diagnosis* / Q000382:microbiology / Q000503:physiopathology; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D019909:Mycobacterium kansasii / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed