title: Non-Tuberculous Mycobacterium: A Rare Cause of Granulomatous Hepatitis.
abstract: Granulomatous hepatitis is a syndrome usually characterized by fever of unknown origin, myalgias, hepatosplenomegaly, and arthralgias, right upper quadrant abdominal pain or tenderness, with or without an elevation in serum transaminases. In this article, we outline our experience with a 64-year-old male presenting with a 3.5 weeks history of fever of unknown origin, night sweats, extreme fatigue and a 20 lb. weight loss. He had an extensive evaluation including 2 liver biopsies that was indicative of fibrin ring granulomas and a positive PCR for Mycobacterium chelonae-abscessus. He was eventually treated empirically with antibiotics that led to an improvement of his symptoms.
authors: Section on Hospital Medicine, Department of Internal Medicine, Wake Forest Baptist University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA.
authors: Chijioke
authors: C
authors: Enweluzo
authors: Section on Infectious Diseases, Department of Internal Medicine, Wake Forest Baptist University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA.
authors: Anuradha
authors: A
authors: Sharma
authors: Department of Pathology, Wake Forest Baptist University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA.
authors: Stephen
authors: S
authors: Lenfest
authors: Section on Hospital Medicine, Department of Internal Medicine, Wake Forest Baptist University Medical Center, Medical Center Boulevard, Winston Salem, NC 27101, USA.
authors: Fahad
authors: F
authors: Aziz
keywords: Chelonae-Abscessus; Clarithromycin; Fever of Unknown Origin; Fibrin-ring; Granulomatous; Hepatitis; Mycobacterium; Nontuberculous