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Mycobacterium abscessus causing native valve endocarditis due to peripherally inserted central catheter line.
Gajanan Rodge1, Vasant Nagvekar1, Darshan Jhala1
1Lilavati Hospital, A-791, Bandra Reclamation, Mumbai, Maharashtra, India.
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
|November 15, 2019
Summary
Rapidly-growing mycobacteria (RGM) infections are rising globally, particularly in immunocompromised individuals. This case highlights Mycobacterium abscessus endocarditis in a patient with a central venous catheter, emphasizing RGM as a cause of prolonged fever.
Area of Science:
- Infectious Diseases
- Microbiology
- Cardiology
Background:
- Rapidly-growing mycobacteria (RGM) infections are increasing worldwide, especially in immunocompromised hosts.
- Clinical data on RGM bacteremia are limited.
- Non-tuberculous mycobacteria (NTM) infections in India are often under-diagnosed due to non-specific symptoms and inadequate laboratory services.
Purpose of the Study:
- To present a case of Mycobacterium abscessus native tricuspid valve endocarditis.
- To raise awareness among clinicians about RGM as a potential cause of prolonged fever in patients with indwelling catheters.
Main Methods:
- Case report presentation.
- Review of clinical manifestations and patient history.
Main Results:
- A case of Mycobacterium abscessus native tricuspid valve endocarditis was identified in a patient with a peripherally inserted central catheter (PICC).
Conclusions:
- Clinicians should consider RGM, specifically Mycobacterium abscessus, as a cause of prolonged fever in patients with chronic indwelling intravenous catheters.
- Increased vigilance and improved diagnostics are necessary for timely RGM infection detection.
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