Mycobacterium chelonae complex bacteremia from a post-renal transplant patient: case report and literature review.
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.
Somily
Ali Mohammed
AM
Department of Pathology, Microbiology Unit, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia. ali.somily@gmail.com
Al-Anazi
Awadh Raheel
AR
Babay
Hanan Ahmed
HA
Al-Aska
Abdulkarim Ibraheem
AI
Al-Hedaithy
Mugbil Ahmed
MA
Al-Hamoudi
Waleed Khalid
WK
Al Boukai
Ahmad Amer
AA
Sabri
Mohammed Sarwar
MS
AlThawadi
Sahar Isa
SI
Kambal
Abdelmageed Mohamed
AM
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
D000995:Antitubercular Agents