Abstract:
:Although Mycobacterium fortuitum (MF) is a non-tuberculous mycobacterium that rarely causes disease, there are reported cases of pneumonia, lung abscess, and empyema in subjects with predisposing lung disease. We report a neonate, without predisposing disease or risk factors, who manifested pneumonia and lung abscess. The patient was initially treated with amoxicillin-clavulanic acid and gentamycin, and subsequently with piperazilin, tazobactam, and vancomycin when there was no improvement. Pleural nodules were detected on computed tomography, and microbiology revealed MF in the absence of other pathogens and a week later the organism was identified in culture as MF, confirmed on four separate samples. The MF was sensitive to amikacin and clarithromycin and the patient was continued on oral clarithromycin for two more weeks until full recovery. To our knowledge, this is the first reported case of MF abscess in a neonate. MF should be sought in similar patients, especially when microbiology fails to detect the usual pathogens, and when the clinical picture is unclear.
journal_name
Pediatr Pulmonoljournal_title
Pediatric pulmonologyauthors
Glatstein M,Scolnik D,Bensira L,Domany KA,Shah M,Vala Sdoi
10.1002/ppul.22558subject
Has Abstractpub_date
2012-10-01 00:00:00pages
1034-7issue
10eissn
8755-6863issn
1099-0496journal_volume
47pub_type
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doi:10.1002/(SICI)1099-0496(199612)22:6<364::AID-PPUL5
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pub_type: 杂志文章,随机对照试验
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更新日期:1987-05-01 00:00:00
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更新日期:2013-12-01 00:00:00