title: [A case of Mycobacterium goodii infection wifh isolation from blood and a pacemaker lead].
abstract: We report a case of blood stream infection due to Mycobacterium goodii in a patient who had an implanting pacemaker. The patient injured left thorax where the pacemaker was implanted several days before septicemia. The microorganism was isolated from both blood cultures and leads of the pacemaker. The serial isolates were identified as M. goodii by conventional biochemical methods, tobramycin susceptibility test and 16Sr-RNA sequencing. This is the first reported case of M. goodii septicemia in Japan. M. goodii is regarded as an environmental bacterium and its pathogenicity has been recognized recently. The present case suggests that its ability as a primary invader should not be underestimated, especially in a patient with indwelling devices.
authors.affiliation: Department of Clinical Laboratory, Kinki University Hospital.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Toda
authors.forename: Kaori
authors.initials: K
authors.lastname: Sato
authors.forename: Masaki
authors.initials: M
authors.lastname: Iimori
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Yamazumi
authors.forename: Itaru
authors.initials: I
authors.lastname: Furuta
authors.forename: Akimasa
authors.initials: A
authors.lastname: Satoh
authors.forename: Chihiro
authors.initials: C
authors.lastname: Katsukawa
mesh_terms: D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000382:microbiology*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification*; D010138:Pacemaker, Artificial; D018805:Sepsis / Q000382:microbiology*