Mycobacterium celatum pulmonary infection mimicking pulmonary tuberculosis in a patient with ankylosing spondylitis
Journal
International Journal of Infectious Diseases
Journal Volume
13
Journal Issue
6
Pages
e459-e462
Date Issued
2009
Author(s)
Abstract
Mycobacterium celatum, a slow-growing acid-fast bacillus, is an uncommon cause of human infection, mainly occurring in patients with AIDS. Rarely, infections restricted to the lung and lymph nodes have been reported in immunocompetent hosts. We report herein a case of M. celatum pulmonary infection that mimicked pulmonary tuberculosis in a patient with ankylosing spondylitis. The literature was reviewed and clinical features of eight HIV-negative patients with M. celatum infection are discussed. The clinical presentation of M. celatum is indistinguishable from tuberculosis, especially in patients with a previous history of pulmonary tuberculosis. Proper treatment depends on a definitive identification of this pathogen, which requires 16S rDNA sequencing or mycolic acid high performance liquid chromatography analysis. ? 2009 International Society for Infectious Diseases.
SDGs
Other Subjects
ciprofloxacin; clarithromycin; DNA 16S; ethambutol; isoniazid; mycolic acid; rifampicin; acid fast bacterium; adult; ankylosing spondylitis; article; bacterium culture; bacterium isolation; case report; coughing; DNA sequence; high performance liquid chromatography; human; lung infection; lung infiltrate; lung tuberculosis; male; Mycobacterium celatum; nucleotide sequence; outcome assessment; sputum analysis; thorax radiography; Humans; Male; Middle Aged; Mycobacterium; Mycobacterium Infections; Spondylitis, Ankylosing; Tuberculosis, Pulmonary
Type
journal article