Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review

Background/purpose: Mycobacterium gordonae is a ubiquitous environmental mycobacteria and has been long considered an opportunistic pathogen, causing infections only in immunocompromised hosts. Cases of M. gordonae related infections in immunocompetent host have rarely been reported, and the pathoge...

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Main Authors: Hao-Yun Chang, Wan-Chen Tsai, Tai-Fen Lee, Wang-Huei Sheng
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664620302898
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author Hao-Yun Chang
Wan-Chen Tsai
Tai-Fen Lee
Wang-Huei Sheng
author_facet Hao-Yun Chang
Wan-Chen Tsai
Tai-Fen Lee
Wang-Huei Sheng
author_sort Hao-Yun Chang
collection DOAJ
description Background/purpose: Mycobacterium gordonae is a ubiquitous environmental mycobacteria and has been long considered an opportunistic pathogen, causing infections only in immunocompromised hosts. Cases of M. gordonae related infections in immunocompetent host have rarely been reported, and the pathogenicity of M. gordonae remained uncertain. Methods: From January 2016 to December 2018, seven cases of M. gordonae infection were diagnosed and treated at National Taiwan University Hospital. Results: Six cases had at least one underlying disease affecting immune status, while one case had no identifiable underlying disease. The sites of infection were lung (n = 3), skin and soft tissue (n = 3), and one had disseminated disease involving the lung and bone marrow. All patients were cured after anti-mycobacterial treatment, except one patient died of refractory leukemia. Conclusion: Compatible with the literature reports, we demonstrate that M. gordonae could be pathogenic and causing infection not only in the immunocompromised host, but also in the otherwise healthy population. Multi-antimicrobial combination and adequate source control could have good therapeutic effect for patients with M. gordonae infections
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spelling doaj.art-1c8f857a27d8498c861c3aca9e7e44082022-12-21T19:43:24ZengElsevierJournal of the Formosan Medical Association0929-66462021-01-011201524532Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature reviewHao-Yun Chang0Wan-Chen Tsai1Tai-Fen Lee2Wang-Huei Sheng3Departments of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartments of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartments of Laboratory Medicine, National Taiwan University Hospital, Taipei, TaiwanDepartments of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan; School of Medicine, National Taiwan University, Taipei, Taiwan; Corresponding author. Department of Internal Medicine, National Taiwan University Hospital, No.7, Jhongshan S. Rd., Jhongjheng Dist., Taipei, 10002, Taiwan.Background/purpose: Mycobacterium gordonae is a ubiquitous environmental mycobacteria and has been long considered an opportunistic pathogen, causing infections only in immunocompromised hosts. Cases of M. gordonae related infections in immunocompetent host have rarely been reported, and the pathogenicity of M. gordonae remained uncertain. Methods: From January 2016 to December 2018, seven cases of M. gordonae infection were diagnosed and treated at National Taiwan University Hospital. Results: Six cases had at least one underlying disease affecting immune status, while one case had no identifiable underlying disease. The sites of infection were lung (n = 3), skin and soft tissue (n = 3), and one had disseminated disease involving the lung and bone marrow. All patients were cured after anti-mycobacterial treatment, except one patient died of refractory leukemia. Conclusion: Compatible with the literature reports, we demonstrate that M. gordonae could be pathogenic and causing infection not only in the immunocompromised host, but also in the otherwise healthy population. Multi-antimicrobial combination and adequate source control could have good therapeutic effect for patients with M. gordonae infectionshttp://www.sciencedirect.com/science/article/pii/S0929664620302898Mycobacterium gordonaeNon-tuberculous mycobacteriaImmunocompromised hostTherapeuticsPrognosis
spellingShingle Hao-Yun Chang
Wan-Chen Tsai
Tai-Fen Lee
Wang-Huei Sheng
Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
Journal of the Formosan Medical Association
Mycobacterium gordonae
Non-tuberculous mycobacteria
Immunocompromised host
Therapeutics
Prognosis
title Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
title_full Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
title_fullStr Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
title_full_unstemmed Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
title_short Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review
title_sort mycobacterium gordonae infection in immunocompromised and immunocompetent hosts a series of seven cases and literature review
topic Mycobacterium gordonae
Non-tuberculous mycobacteria
Immunocompromised host
Therapeutics
Prognosis
url http://www.sciencedirect.com/science/article/pii/S0929664620302898
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