Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient
Mycobacterium haemophilum is an increasingly recognized pathogen of the non-tuberculous mycobacteria family that largely infects immunocompromised adults and immunocompetent children. M. haemophilum is a fastidious and slow-growing organism that exhibits preferential growth at lower temperature with...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250923000082 |
| _version_ | 1797869773889994752 |
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| author | Benjamin Chen Sanjay Mehta |
| author_facet | Benjamin Chen Sanjay Mehta |
| author_sort | Benjamin Chen |
| collection | DOAJ |
| description | Mycobacterium haemophilum is an increasingly recognized pathogen of the non-tuberculous mycobacteria family that largely infects immunocompromised adults and immunocompetent children. M. haemophilum is a fastidious and slow-growing organism that exhibits preferential growth at lower temperature with iron supplemented media, and therefore most clinical manifestations involve cutaneous infection or musculoskeletal infection of the distal extremities. It is believed that opportunistic infection occurs in immunocompromised hosts when the organism is acquired through environmental exposure. We describe the case of a 71-year-old renal transplant recipient who developed acute M. haemophilum osteomyelitis of the left foot, likely contracted from Epsom salt soaks with contaminated tap water. Outcomes of M. haemophilum infection are generally favorable in the literature. Our patient was treated with local debridement and partial amputation followed by a 3-drug anti-mycobacterial regimen until definitive amputation could be completed. |
| first_indexed | 2024-04-10T00:17:26Z |
| format | Article |
| id | doaj.art-a6b8a1f467264c3e94774e8bb994dd40 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-10T00:17:26Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-a6b8a1f467264c3e94774e8bb994dd402023-03-16T05:04:29ZengElsevierIDCases2214-25092023-01-0131e01684Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipientBenjamin Chen0Sanjay Mehta1Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, La Jolla, CA, USA; Corresponding author at: Division of Infectious Diseases and Global Public Health, 9500 Gilman Drive, La Jolla, CA 92093-0507, USA.Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, La Jolla, CA, USA; Section of Infectious Diseases, San Diego Veterans Affairs Medical Center, La Jolla, CA, USAMycobacterium haemophilum is an increasingly recognized pathogen of the non-tuberculous mycobacteria family that largely infects immunocompromised adults and immunocompetent children. M. haemophilum is a fastidious and slow-growing organism that exhibits preferential growth at lower temperature with iron supplemented media, and therefore most clinical manifestations involve cutaneous infection or musculoskeletal infection of the distal extremities. It is believed that opportunistic infection occurs in immunocompromised hosts when the organism is acquired through environmental exposure. We describe the case of a 71-year-old renal transplant recipient who developed acute M. haemophilum osteomyelitis of the left foot, likely contracted from Epsom salt soaks with contaminated tap water. Outcomes of M. haemophilum infection are generally favorable in the literature. Our patient was treated with local debridement and partial amputation followed by a 3-drug anti-mycobacterial regimen until definitive amputation could be completed.http://www.sciencedirect.com/science/article/pii/S2214250923000082Renal transplantNon-tuberculous mycobacteriaMycobacterium haemophilumOsteomyelitis |
| spellingShingle | Benjamin Chen Sanjay Mehta Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient IDCases Renal transplant Non-tuberculous mycobacteria Mycobacterium haemophilum Osteomyelitis |
| title | Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient |
| title_full | Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient |
| title_fullStr | Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient |
| title_full_unstemmed | Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient |
| title_short | Osteomyelitis due to Mycobacterium haemophilum in an adult renal transplant recipient |
| title_sort | osteomyelitis due to mycobacterium haemophilum in an adult renal transplant recipient |
| topic | Renal transplant Non-tuberculous mycobacteria Mycobacterium haemophilum Osteomyelitis |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923000082 |
| work_keys_str_mv | AT benjaminchen osteomyelitisduetomycobacteriumhaemophiluminanadultrenaltransplantrecipient AT sanjaymehta osteomyelitisduetomycobacteriumhaemophiluminanadultrenaltransplantrecipient |