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Published on: September 16, 2012
Mycobacterium mucogenicum bacteremia: major role of clinical microbiologists
Maxime Pradier1, Anne Boucher1, Olivier Robineau1
1Service Universitaire des Maladies Infectieuses et du voyageur, Centre Hospitalier Dron, 135 avenue du Président Coty, 59200, Tourcoing, France.
Introduction:
Mycobacterium mucogenicum is a rare but emerging cause of infections, especially in immunocompromised patients.
Case Presentation:
We describe a new case of M. mucogenicum catheter-related bloodstream infection in a 34-year-old woman with ovarian cancer. M. mucogenicum was at first considered as a contaminant, and susceptibility testing was not performed. Usual susceptibility of M. mucogenicum motivated prescription of clarithromycin and moxifloxacin. Finally, our isolate was confirmed susceptible to both drugs. Clinical outcome was favorable with no relapse of infection after antibiotics discontinuation despite concomitant chemotherapy.
Conclusion:
Our case illustrates the need for a clinician-microbiologist dialogue in case of suspected M. mucogenicum infection to avoid delaying appropriate management.
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