title: Fatal Disseminated Mycobacterium chelonae Infection in an Immunocompromised Host--A Unique Presentation.
abstract: Disseminated disease due to rapidly growing non tuberculous mycobacteria especially in the immunocompromised host is being increasingly reported. The usual manifestations of disease being skin and soft tissue infection, post operative wound infection and pulmonary disease. We present a case of a disseminated infection due to Mycobacterium chelonae with features of chronic meningitis and knee joint arthritis in a patient with systemic lupus erythematosus on systemic steroids and mycophenolate. M chelonae was isolated from both synovial and cerebrospinal fluid and anti microbial therapy was initiated as per sensitivity results. However the patient's clinical condition continued to worsen and she succumbed to her illness.
authors.forename: Sanket
authors.initials: S
authors.lastname: Mankad
authors.forename: Rajiv
authors.initials: R
authors.lastname: Karthik
authors.forename: Priscilla
authors.initials: P
authors.lastname: Rupali
authors.forename: Joy S
authors.initials: JS
authors.lastname: Michael
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000328:Adult; D001170:Arthritis, Infectious / Q000139:chemically induced* / Q000276:immunology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D007719:Knee Joint; D008180:Lupus Erythematosus, Systemic / Q000188:drug therapy*; D016920:Meningitis, Bacterial / Q000139:chemically induced* / Q000276:immunology; D009165:Mycobacterium Infections, Nontuberculous / Q000139:chemically induced* / Q000276:immunology; D016926:Mycobacterium chelonae / Q000302:isolation & purification*
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents