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Mycobacterium gordonae genitourinary disease
1Tuberculosis Treatment Unit, Hamad Medical Corporation, Doha, Qatar, Arabian Gulf.
Genitourinary Medicine
|February 1, 1992
Summary
Mycobacterium gordonae urinary tract infections are rare but treatable. A case highlights successful treatment with antituberculosis drugs, emphasizing adherence for sustained recovery.
Area of Science:
- Microbiology
- Infectious Diseases
- Urology
Background:
- Mycobacterium gordonae is commonly found in urine samples but rarely causes genitourinary disease.
- Most urine isolates of M. gordonae are considered commensals, not pathogens.
Observation:
- A 40-year-old woman presented with urinary symptoms including loin pain, dysuria, and frequency.
- Her urine showed pus cells, was sterile on culture, and did not improve with broad-spectrum antibiotics.
- Repeated urine cultures consistently isolated Mycobacterium gordonae.
Findings:
- The patient responded well to a standard antituberculosis regimen.
- Despite initial improvement, she relapsed three months after discontinuing medication due to non-compliance.
- M. gordonae was again isolated during relapse; Mycobacterium tuberculosis and other pathogens were absent.
Implications:
- This case underscores that Mycobacterium gordonae can cause symptomatic genitourinary infections.
- Antituberculosis therapy can be effective for M. gordonae infections.
- Patient compliance with supervised therapy is crucial for preventing relapse in M. gordonae genitourinary disease.