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Mycobacteremia from Crushed Hydromorphone Tablet Injection
Joseph M Banno1, Katherine Shield2, Krunal Patel1
1Internal Medicine, St. Joseph Mercy Oakland.
A patient developed Mycobacterium abscessus bacteremia after injecting crushed hydromorphone into her hemodialysis catheter. This case highlights the dangers of non-traditional prescription drug abuse and the need for increased prescriber awareness.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Public Health
Background:
- Mycobacterium abscessus is a waterborne non-tubercular mycobacterium (NTM).
- NTM bacteremia typically affects immunocompromised individuals with intravascular catheters, often linked to contaminated hemodialysis water.
- Opioid abuse is increasing, with a rise in non-traditional methods of administration.
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