Synchronous infection with Mycobacterium chelonae and Paecilomyces in a heart transplant patient

Jeong Eun Kim, H. Sung, M. N. Kim, C. H. Won, S. E. Chang, M. W. Lee, J. H. Choi, K. C. Moon

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

A 41-year-old male who was 3 years status post heart transplant presented with a 3-month history of painful erythematous nodules and ulcers on his lower legs and right hand. First, Mycobacterium chelonae infection was revealed through several biopsies with molecular sequence analysis, and combination treatment, including clarithromycin, was started. During the treatment, lesions of the legs showed an improvement, but a fluctuant erythematous nodule on the thumb did not respond. Repetitive biopsy from the thumb ultimately identified Paecilomyces species and the patient was treated with itraconazole and terbinafine sequentially. Our case is the first report, to our knowledge, of synchronous infection with non-tuberculous mycobacteria (NTM) and Paecilomyces in a solid organ transplant recipient. Our findings highlight the importance of recognizing cutaneous NTM infections or deep mycoses, as well as the importance of choosing an appropriate treatment.

Original languageEnglish
Pages (from-to)80-83
Number of pages4
JournalTransplant Infectious Disease
Volume13
Issue number1
DOIs
StatePublished - 2011 Feb 1

Keywords

  • Atypical mycobacterial infection
  • Mycobacterium chelonae
  • Non-tuberculous mycobacteria
  • Paecilomyces
  • Transplant

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