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Mycobacterium abscessus Ventriculoperitoneal Shunt Infection
Danay Herrera1, Aunie Danyalian1, Daniel Kaswan2
1Internal Medicine, Aventura Hospital and Medical Center, Aventura, USA.
Cureus
|August 16, 2021
Summary
Mycobacterium abscessus, a drug-resistant bacterium, can cause central nervous system infections, particularly with medical device use. Source control via catheter removal is crucial for treating these rare infections.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- Mycobacterium abscessus (M. abscessus) is a rapidly growing mycobacterium (RGM) found in environmental sources.
- RGMs are inherently resistant to many first-line anti-tuberculosis drugs.
- Central nervous system (CNS) infections from M. abscessus are infrequently reported.
Observation:
- Central nervous system (CNS) infections secondary to M. abscessus are increasing.
- This rise correlates with the increased use of indwelling medical devices such as vascular catheters and prosthetics.
- A specific case involving a ventricular catheter infection is detailed.
Findings:
- The case highlights M. abscessus as a potential pathogen in CNS infections.
- Infections associated with medical devices pose a significant challenge.
- Source control through device removal is critical for managing these infections.
Implications:
- Clinicians should consider M. abscessus in cases of CNS infections, especially in patients with medical devices.
- Effective management strategies may require a multi-faceted approach including device removal and targeted antimicrobial therapy.
- Further research is needed to understand the pathogenesis and optimal treatment of M. abscessus CNS infections.
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