title: DisseminatedMycobacterium interjectumInfection with Bacteremia, Hepatic and Pulmonary Involvement Associated with a Long-Term Catheter Infection.
abstract: We present a 49-year-old female with one year of intermittent fevers, chills, night sweats, and significant weight loss. Liver and lung biopsy showed evidence of a granulomatous process. Blood and liver biopsy cultures yielded growth of presumedMycobacterium interjectum, thought to be related to a disseminated long-term central venous catheter infection. She successfully received one year of combined antimicrobial therapy after catheter removal without recurrence of disease.M. interjectumhas been previously described as a cause of lymphadenitis in healthy children and associated with pulmonary disease in adults, although other localized infections have been reported. This is the first case described of a disseminatedM. interjectuminfection with bacteremia, hepatic and pulmonary involvement associated with a long-term catheter infection.
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: David
authors.identifier: 0000-0002-9625-1861
authors.initials: D
authors.lastname: Sotello
authors.affiliation: Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: D Jane
authors.initials: DJ
authors.lastname: Hata
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Reza
authors.affiliation: Department of Transplantation, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Raj
authors.initials: R
authors.lastname: Satyanarayana
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Vichaya
authors.initials: V
authors.lastname: Arunthari
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, USA.
authors.forename: Wendelyn
authors.initials: W
authors.lastname: Bosch