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Navid S, Sadegh-Ehdaei B, Shabani M, Hasani M, Mirzaei A, Ghazvini K, Youssefi M, Keikha M. The case report of Mycobacterium arupense wound infection in diabetes mellitus patients; the first report and literature review. Access Microbiol 2020; 2:acmi000106. [PMID: 33005870 PMCID: PMC7523626 DOI: 10.1099/acmi.0.000106] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 01/09/2020] [Indexed: 02/05/2023] Open
Abstract
Mycobacterium arupense is among the opportunist pathogens of atypical mycobacteria emergence (atypical mycobacteria) that is one of the isolated and reported environmental and clinical specimens. Numerous cases of osteo-articular infections of this bacterium are reported nowadays, while the pulmonary infection is rare. We identified Mycobacterium arupense in non-healing wound infection of an elderly woman with history of diabetes mellitus. She has negative tests for HIV, HBV and HCV, but was positive for HTLV-1. The patient was referred according to mild-fever, non-healing, destructive, and swelled lesion on her left foot. The mycobacterial wounds infection was suspected due to her non-conclusive previous treatment. The pathology, acid-fast staining, conventional and 16S rRNA sequencing confirmed the micro-organism to be M. arupense. Finally, the patient recovered following two-week consumption of clarithromycin, ethambutol and rifabutin. The results of this study provide evidence on the potential pathogenicity, clinical outcomes and treatment of infections caused by this bacterium.
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Affiliation(s)
- Sepehr Navid
- Department of Microbiology, School of Medicine, Isfahan Medical University, Isfahan, Iran
| | - Bahar Sadegh-Ehdaei
- Department of Microbiology, School of Medicine, Isfahan Medical University, Isfahan, Iran
| | - Mehdi Shabani
- Department of Microbiology, School of Medicine, Isfahan Medical University, Isfahan, Iran
| | - Melika Hasani
- M.Sc. of Molecular Genetics, Sana Institue of Higher Education, Sari, Iran
| | - Arezoo Mirzaei
- Department of Microbiology, School of Medicine, Isfahan Medical University, Isfahan, Iran
| | - Kiarash Ghazvini
- Antimicrobial Resistance Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Masoud Youssefi
- Antimicrobial Resistance Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Masoud Keikha
- Antimicrobial Resistance Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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