Journal article
Disseminated Mycobacterium chimaera infection successfully treated with a clofazimine-containing regimen and long-term follow-up after discontinuing treatment
IDCases, Vol.36, e01991
2024
DOI: 10.1016/j.idcr.2024.e01991
PMCID: PMC11154623
PMID: 38846029
Abstract
Mycobacterium chimaera is a slow-growing member of the Mycobacterium avium complex. It can contaminate tap water and has been detected in water tanks of heater-cooler devices used during open-heart surgery. Herein we report a case of a 67-year-old- male with disseminated M. chimaera infection who presented with fevers, significant weight loss and was found to have bacteremia with prosthetic valve endocarditis, chorioretinitis, bone marrow and splenic granulomas two years after an open-heart surgery. He developed multiple drug adverse events over the course of treatment but was successfully treated using a clofazimine containing regimen along with aortic valve replacement. He has remained symptom-free with no signs of recurrence three years after completion of antimicrobials. Clofazimine is an effective alternative that can be used as part of a multi-drug regimen in M. chimaera infection when there is resistance to first-line drugs or when adverse drug reactions occur.
Details
- Title: Subtitle
- Disseminated Mycobacterium chimaera infection successfully treated with a clofazimine-containing regimen and long-term follow-up after discontinuing treatment
- Creators
- Takaaki Kobayashi - University of Iowa Hospitals and ClinicsBradley Ford - University of IowaDaniel J. Diekema - University of IowaPoorani Sekar - University of Iowa
- Resource Type
- Journal article
- Publication Details
- IDCases, Vol.36, e01991
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.idcr.2024.e01991
- PMID
- 38846029
- PMCID
- PMC11154623
- ISSN
- 2214-2509
- eISSN
- 2214-2509
- Language
- English
- Date published
- 2024
- Academic Unit
- Infectious Diseases; Pathology; Internal Medicine
- Record Identifier
- 9984634158102771
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