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Pulmonary infection with rapidly growing mycobacteria in a singer with achalasia: a case report
J P Cramer1, H Sudeck, G D Burchard
1University Medical Center Hamburg-Eppendorf, I. Department of Internal Medicine, Section for Tropical Medicine, Bernhard-Nocht-Strasse 74, 20359 Hamburg, Germany. cramer@bni-hamburg.de <cramer@bni-hamburg.de>
Abstract:
We report the case of a 37-year-old male patient with prolonged pneumonia and achalasia. Culture and molecular genetic typing identified Mycobacterium abscessus as causative agent. Treatment with clarithromycin and minocycline over 8 months gradually resolved the infection. Rapidly growing, non-obligate pathogenic mycobacteria are widespread in the environment. Several cases of pulmonary infections with these mycobacteria in patients with achalasia have been reported, suggesting a causative association. This is the first report of a case with isolation of M. abscessus in this context.
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