title: Mycobacterium chelonae complex bacteremia from a post-renal transplant patient: case report and literature review.
abstract: In this report we present a case of a young lady with abdominal abscesses and septicemia caused by Mycobacterium chelonae complex. Identification of the organism and initiation of the appropriate antimicrobial therapy was delayed, resulting in significant morbidity and multiple hospital admissions. Gram staining of these organisms from blood culture can be easily overlooked or confused with either debris or diptheroids. We concluded that detection of Gram-positive rod colonies should prompt an acid-fast stain to distinguish diphtheroids from rapidly growing mycobacteria in immunosuppressed patients.
authors.affiliation: Department of Pathology, Microbiology Unit, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia. ali.somily@gmail.com
authors.forename: Ali Mohammed
authors.initials: AM
authors.lastname: Somily
authors.forename: Awadh Raheel
authors.initials: AR
authors.lastname: Al-Anazi
authors.forename: Hanan Ahmed
authors.initials: HA
authors.lastname: Babay
authors.forename: Abdulkarim Ibraheem
authors.initials: AI
authors.lastname: Al-Aska
authors.forename: Mugbil Ahmed
authors.initials: MA
authors.lastname: Al-Hedaithy
authors.forename: Waleed Khalid
authors.initials: WK
authors.lastname: Al-Hamoudi
authors.forename: Ahmad Amer
authors.initials: AA
authors.lastname: Al Boukai
authors.forename: Mohammed Sarwar
authors.initials: MS
authors.lastname: Sabri
authors.forename: Sahar Isa
authors.initials: SI
authors.lastname: AlThawadi
authors.forename: Abdelmageed Mohamed
authors.initials: AM
authors.lastname: Kambal
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis* / Q000382:microbiology; D001431:Bacteriological Techniques / Q000379:methods; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation / Q000009:adverse effects; D008853:Microscopy; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000382:microbiology; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D013194:Staining and Labeling / Q000379:methods; D013997:Time Factors
chemical_list: D000995:Antitubercular Agents