Repeated acute kidney injury associated with Mycobacterium gordonae infection

CEN Case Reports
Tomohiro MurataMasaaki Ito

Abstract

Mycobacterium gordonae is a nontuberculous mycobacterium widely distributed in the environment. Although M. gordonae is not usually pathogenic and glomerular lesions due to M. gordonae are very rare, infection has been reported in both immunocompromised patients and healthy persons. We report a case of acute kidney injury (AKI) in which M. gordonae was ultimately identified as the cause. A 70-year-old man was admitted to our hospital because of fever, polyarthritis, and AKI. He was a hepatitis B virus carrier, suffered from diabetes, and had a past history of erysipelas. No causative bacteria were identified, but coexisting infection was suspected. The patient experienced remission with antibiotic therapy, but the same symptoms recurred eight times. Blood polymerase chain reaction was performed during the 7th recurrence, and M. gordonae was detected. Clarithromycin was initiated, but 2 years after initial hospitalization, the patient died due to M. gordonae infection. In this case, acute kidney injury was a consequence of infection-related glomerulonephritis due to M. gordonae. Mycobacterium is difficult to detect by routine culture methods; therefore, diagnosis remains challenging.

References

Jun 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M WeinbergerF G Witebsky
Aug 16, 2000·Thorax·I A Campbell
May 19, 2001·The Journal of Hospital Infection·V LalandeJ C Petit
Feb 6, 2007·American Journal of Respiratory and Critical Care Medicine·David E GriffithUNKNOWN Infectious Disease Society of America
May 22, 2009·Journal of Clinical Microbiology·Masaki TanabeMasaaki Ito
Jan 11, 2013·Kidney International·Samih H NasrVivette D D'Agati

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.

Related Papers

Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete
W WeyersW B Schill
Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Kuniaki MatsuzawaHiroshi Kimura
© 2022 Meta ULC. All rights reserved