title: Mycobacterium avium complex disseminated infection in a kidney transplant recipient.
abstract: Mycobacterium avium-intracellulare complex (MAC) infections are well known in immunocompromised patients, notably in human immunodeficiency virus infection, but remain scarcely described in kidney transplantation. Moreover, cutaneous involvement in this infection is very unusual. We describe here a disseminated infection caused by MAC in a kidney transplant recipient revealed by cutaneous lesions. This case highlights the need for an exhaustive, iterative microbiologic workup in the context of an atypical disease presentation in a renal transplant patient, regardless of the degree of immunosuppression.
authors.affiliation: Université Paris Descartes, Centre d'Infectiologie Necker Pasteur, IHU Imagine, Hôpital Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: J
authors.initials: J
authors.lastname: Fadlallah
authors.affiliation: Université Paris Descartes, Centre d'Infectiologie Necker Pasteur, IHU Imagine, Hôpital Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Rammaert
authors.affiliation: Service d'anatomopathologie, Hôpital Cochin, Université Paris Descartes, APHP, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Laurent
authors.affiliation: Université Paris Descartes, Centre d'Infectiologie Necker Pasteur, IHU Imagine, Hôpital Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Lanternier
authors.affiliation: Service d'hépatologie, Hôpital Cochin, Université Paris Descartes, APHP, Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Pol
authors.affiliation: Service de dermatologie, Hôpital Cochin, Pavillon Tarnier, Université Paris Descartes, APHP, Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Franck
authors.affiliation: Service de transplantation rénale, Hôpital Necker Enfants Malades, Université Paris Descartes, APHP, Paris, France.
authors.forename: M F
authors.initials: MF
authors.lastname: Mamzer
authors.affiliation: Service de dermatologie, Hôpital Cochin, Pavillon Tarnier, Université Paris Descartes, APHP, Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Dupin
authors.affiliation: Université Paris Descartes, Centre d'Infectiologie Necker Pasteur, IHU Imagine, Hôpital Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Lortholary
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015269:Mycobacterium avium Complex / Q000302:isolation & purification*; D015270:Mycobacterium avium-intracellulare Infection / Q000382:microbiology*; D066027:Transplant Recipients
keywords: Mycobacterium avium-intracellulare complex; cutaneous infection; immunodeficiency; kidney transplantation; non-tuberculous mycobacteria