<i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report

Infections caused by nontuberculous mycobacteria (NTM) are increasing globally and are notoriously difficult to treat due to their intrinsic resistance to many commonly used antibiotics. NTM are diverse and ubiquitous in the environment, with only a few species causing serious and often opportunisti...

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Main Authors: Shruti Appaswamy, Bhavesh D Rathod
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-07-01
Series:Pediatric Infectious Disease
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Online Access:https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1425
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author Shruti Appaswamy
Bhavesh D Rathod
author_facet Shruti Appaswamy
Bhavesh D Rathod
author_sort Shruti Appaswamy
collection DOAJ
description Infections caused by nontuberculous mycobacteria (NTM) are increasing globally and are notoriously difficult to treat due to their intrinsic resistance to many commonly used antibiotics. NTM are diverse and ubiquitous in the environment, with only a few species causing serious and often opportunistic infections in humans, including <i>Mycobacterium abscessus</i>. It is one of the commonly identified NTM species responsible for severe respiratory, skin, and mucosal infections in humans and is often regarded one of the most antibiotic-resistant mycobacteria, leaving us with few therapeutic options. Although historically known to cause infections in immunocompromised individuals, the incidence of infections in immunocompetent humans is on the rise, giving it the status of a true pathogen. This is a case report of an 18-month-old child diagnosed in an urban secondary care center with <i>M. abscessus</i> soft tissue infection, which was acquired postimmunization. Microbiological evidence was consistent with multidrug-resistant strains of <i>M. abscessus</i>. The child was evaluated for primary and secondary immunodeficiencies and was started on appropriate treatment based on culture and sensitivity, that is, linezolid and amikacin, which led to the resolution of the infection. Prevention of these infections at the source level is of utmost importance. Since the organisms are frequently found on hospital instruments, water sources, and surfaces, timely and regular sterilization and microbiological quality checks should be carried out.
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spelling doaj-art-63d0e8f09c87437c89475851f7c9d4f82025-02-07T11:21:56ZengJaypee Brothers Medical PublisherPediatric Infectious Disease2582-49882024-07-0163959910.5005/jp-journals-10081-14255<i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case ReportShruti Appaswamy0Bhavesh D Rathod1Department of Pediatrics, Maharashtra University of Health Sciences, Nashik, Maharashtra, India, Phone: +91 9819327633Department of Pediatrics, V N Desai Bombay Municipal Corporation Hospital, Mumbai, Maharashtra, IndiaInfections caused by nontuberculous mycobacteria (NTM) are increasing globally and are notoriously difficult to treat due to their intrinsic resistance to many commonly used antibiotics. NTM are diverse and ubiquitous in the environment, with only a few species causing serious and often opportunistic infections in humans, including <i>Mycobacterium abscessus</i>. It is one of the commonly identified NTM species responsible for severe respiratory, skin, and mucosal infections in humans and is often regarded one of the most antibiotic-resistant mycobacteria, leaving us with few therapeutic options. Although historically known to cause infections in immunocompromised individuals, the incidence of infections in immunocompetent humans is on the rise, giving it the status of a true pathogen. This is a case report of an 18-month-old child diagnosed in an urban secondary care center with <i>M. abscessus</i> soft tissue infection, which was acquired postimmunization. Microbiological evidence was consistent with multidrug-resistant strains of <i>M. abscessus</i>. The child was evaluated for primary and secondary immunodeficiencies and was started on appropriate treatment based on culture and sensitivity, that is, linezolid and amikacin, which led to the resolution of the infection. Prevention of these infections at the source level is of utmost importance. Since the organisms are frequently found on hospital instruments, water sources, and surfaces, timely and regular sterilization and microbiological quality checks should be carried out.https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1425case reportdisinfectionmycobacteriapediatricreemerging infectious diseasessterilization
spellingShingle Shruti Appaswamy
Bhavesh D Rathod
<i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
Pediatric Infectious Disease
case report
disinfection
mycobacteria
pediatric
reemerging infectious diseases
sterilization
title <i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
title_full <i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
title_fullStr <i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
title_full_unstemmed <i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
title_short <i>Mycobacterium abscessus—</i>An Emerging True Pathogen: A Case Report
title_sort i mycobacterium abscessus i an emerging true pathogen a case report
topic case report
disinfection
mycobacteria
pediatric
reemerging infectious diseases
sterilization
url https://www.pidjournal.com/doi/PID/pdf/10.5005/jp-journals-10081-1425
work_keys_str_mv AT shrutiappaswamy imycobacteriumabscessusianemergingtruepathogenacasereport
AT bhaveshdrathod imycobacteriumabscessusianemergingtruepathogenacasereport