Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report
Non-tuberculous mycobacteria (NTM) rarely manifest with lymphoma-like symptoms in immunocompetent adults. We report the case of a 70-year-old male with a disseminated Mycobacterium kansasii infection. Computed tomography revealed the presence of multiple lymph nodes in various areas. Biopsies confir...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-10-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S240584402415534X |
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| author | Soo Hyun Park Jin Woong Suh Jeong Yeon Kim Yeseul Kim Sun Bean Kim Jang Wook Sohn Young Kyung Yoon |
| author_facet | Soo Hyun Park Jin Woong Suh Jeong Yeon Kim Yeseul Kim Sun Bean Kim Jang Wook Sohn Young Kyung Yoon |
| author_sort | Soo Hyun Park |
| collection | DOAJ |
| description | Non-tuberculous mycobacteria (NTM) rarely manifest with lymphoma-like symptoms in immunocompetent adults. We report the case of a 70-year-old male with a disseminated Mycobacterium kansasii infection. Computed tomography revealed the presence of multiple lymph nodes in various areas. Biopsies confirmed the NTM infection. Urine and pus cultures confirmed M. kansasii. Empirical antibiotic treatment was initiated; however, the patient developed acute cholangitis. Despite interventions, including choledocholithotomy and broad-spectrum antibiotics, the patient succumbed to septic shock. This case underscores the necessity of maintaining suspicion and comprehensive testing for NTM infections to enable early diagnosis, appropriate treatment, and prevent fatal complications. |
| format | Article |
| id | doaj-art-c39e0550afb044b8bb98438d41483e9e |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-c39e0550afb044b8bb98438d41483e9e2024-11-12T05:20:49ZengElsevierHeliyon2405-84402024-10-011020e39503Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case reportSoo Hyun Park0Jin Woong Suh1Jeong Yeon Kim2Yeseul Kim3Sun Bean Kim4Jang Wook Sohn5Young Kyung Yoon6Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDepartment of Pathology, Korea University College of Medicine, Anam Hospital, Seoul, Republic of KoreaDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of KoreaDivision of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Republic of Korea; Corresponding author. Division of Infectious Diseases, Department of Internal Medicine Korea University Anam Hospital, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, Seoul, 02841, Republic of Korea.Non-tuberculous mycobacteria (NTM) rarely manifest with lymphoma-like symptoms in immunocompetent adults. We report the case of a 70-year-old male with a disseminated Mycobacterium kansasii infection. Computed tomography revealed the presence of multiple lymph nodes in various areas. Biopsies confirmed the NTM infection. Urine and pus cultures confirmed M. kansasii. Empirical antibiotic treatment was initiated; however, the patient developed acute cholangitis. Despite interventions, including choledocholithotomy and broad-spectrum antibiotics, the patient succumbed to septic shock. This case underscores the necessity of maintaining suspicion and comprehensive testing for NTM infections to enable early diagnosis, appropriate treatment, and prevent fatal complications.http://www.sciencedirect.com/science/article/pii/S240584402415534XMycobacterium kansasiiNontuberculous mycobacteriaLymphadenitis |
| spellingShingle | Soo Hyun Park Jin Woong Suh Jeong Yeon Kim Yeseul Kim Sun Bean Kim Jang Wook Sohn Young Kyung Yoon Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report Heliyon Mycobacterium kansasii Nontuberculous mycobacteria Lymphadenitis |
| title | Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report |
| title_full | Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report |
| title_fullStr | Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report |
| title_full_unstemmed | Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report |
| title_short | Disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency: A case report |
| title_sort | disseminated nontuberculous mycobacterial infection mimicking lymphoma in an adult without diagnosed immunodeficiency a case report |
| topic | Mycobacterium kansasii Nontuberculous mycobacteria Lymphadenitis |
| url | http://www.sciencedirect.com/science/article/pii/S240584402415534X |
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