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Holland SM, Pierce VM, Shailam R, Glomski K, Farmer JR. Case 28-2017. A 13-Month-Old Girl with Pneumonia and a 33-Year-Old Woman with Hip Pain. N Engl J Med 2017; 377:1077-1091. [PMID: 28902581 DOI: 10.1056/nejmcpc1706097] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Steven M Holland
- From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (S.M.H.); and the Departments of Pediatrics (V.M.P.), Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Massachusetts General Hospital, and the Departments of Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Harvard Medical School - both in Boston
| | - Virginia M Pierce
- From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (S.M.H.); and the Departments of Pediatrics (V.M.P.), Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Massachusetts General Hospital, and the Departments of Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Harvard Medical School - both in Boston
| | - Randheer Shailam
- From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (S.M.H.); and the Departments of Pediatrics (V.M.P.), Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Massachusetts General Hospital, and the Departments of Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Harvard Medical School - both in Boston
| | - Krzysztof Glomski
- From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (S.M.H.); and the Departments of Pediatrics (V.M.P.), Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Massachusetts General Hospital, and the Departments of Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Harvard Medical School - both in Boston
| | - Jocelyn R Farmer
- From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD (S.M.H.); and the Departments of Pediatrics (V.M.P.), Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Massachusetts General Hospital, and the Departments of Pathology (V.M.P., K.G.), Radiology (R.S.), and Medicine (J.R.F.), Harvard Medical School - both in Boston
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Böttcher D, Paar M, Wittenbrink MM, Müller K, Bischofberger L, Schoon HA. Mycobacterium genavense Infection as a Cause of Disseminated Granulomatous Inflammation in a Horse. J Equine Vet Sci 2016. [DOI: 10.1016/j.jevs.2015.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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IDENTIFICATION OF MYCOBACTERIUM GENAVENSE IN A DIANA MONKEY (CERCOPITHECUS DIANA) BY POLYMERASE CHAIN REACTION AND HIGH-PERFORMANCE LIQUID CHROMATOGRAPHY. J Zoo Wildl Med 2015; 46:339-44. [PMID: 26056890 DOI: 10.1638/2013-0246r2.1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
A 25-yr-old Diana monkey (Cercopithecus diana) with a 1.5-yr history of chronic colitis and diarrhea was found to have disseminated granulomatous disease with intralesional acid fast bacilli. Bacilli were identified as Mycobacterium genavense by polymerase chain reaction, sequencing of the 16S-23S ribosomal RNA intergenic spacer (ITS) gene, and mycolic acid analysis by high-performance liquid chromatography. Mycobacterium genavense is a common cause of mycobacteriosis in free-ranging and captive birds. In addition, recognition of opportunistic infection in human immunodeficiency virus-positive patients is increasing. Disease manifestations of M. genavense are similar to Mycobacterium avium complex (MAC) and include fever, wasting, and diarrhea with disseminated disease. Similar clinical signs and lesions were observed in this monkey. Mycobacterium genavense should be considered as a differential for disseminated mycobacterial disease in nonhuman primates as this agent can mimic MAC and related mycobacteria.
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Rammaert B, Couderc LJ, Rivaud E, Honderlick P, Zucman D, Mamzer MF, Cahen P, Bille E, Lecuit M, Lortholary O, Catherinot E. Mycobacterium genavense as a cause of subacute pneumonia in patients with severe cellular immunodeficiency. BMC Infect Dis 2011; 11:311. [PMID: 22054169 PMCID: PMC3232426 DOI: 10.1186/1471-2334-11-311] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2011] [Accepted: 11/05/2011] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND Mycobacterium genavense is a rare nontuberculous mycobacteria (NTM). Human infections are mostly disseminated in the setting of the AIDS epidemic or the use of aggressive immunosuppressive treatments. M. genavense culture is fastidious, requiring supplemented media. Pulmonary involvement rarely occurs as a primary localization. CASES PRESENTATION We report here two patients with pneumonia as the predominant manifestation of M. genavense infection: one kidney transplanted patient and one HIV-infected patient. Both patients were initially treated with anti-tuberculous drugs before the identification of M. genavense on sputum or broncho-alveolar lavage fluid culture. A four-drug regimen including clarithromycin and rifabutin was started. Gamma interferon has been helpful in addition to antimycobacterial treatment for one patient. CONCLUSION Clinicians should be aware that M. genavense could be the etiologic agent of sub-acute pneumonia mimicking tuberculosis in patients with cellular immunodeficiency status.
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Affiliation(s)
- Blandine Rammaert
- Université Paris-Descartes, Hôpital Necker-Enfants Malades, Service des Maladies Infectieuses et Tropicales, Centre d'Infectiologie Necker-Pasteur, Paris, France
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Doggett J, Strasfeld L. Disseminated Mycobacterium genavense with pulmonary nodules in a kidney transplant recipient: case report and review of the literature. Transpl Infect Dis 2011; 13:38-43. [DOI: 10.1111/j.1399-3062.2010.00545.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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