Journal article
Non-tuberculous mycobacterial thoracic osteomyelitis in an immunocompetent host: a rare presentation of Mycobacterium kansasii
BMJ case reports, Vol.15(5), p.e249629
05/26/2022
DOI: 10.1136/bcr-2022-249629
PMCID: PMC9137344
PMID: 35618338
Abstract
An immunocompetent man in his 40s presented with 3 months of mid-thoracic back pain which progressed to include progressive paraesthesias and lower extremity weakness. Investigations revealed thoracic spine osteomyelitis with signs of cord compression. He underwent neurosurgical intervention, including laminectomy, spinal cord decompression and partial resection of an epidural mass. Initial intraoperative biopsy and surgical pathology results were concerning for an acid-fast bacillus as the causative pathogen, and the patient was given empiric therapy for presumed
However, microbiology speciation revealed the presence of the non-tuberculous mycobacterium (NTM)
, which resulted in an alteration of his antimicrobial therapy. This case highlights the importance of considering NTM as a possible aetiology of spinal osteomyelitis, even among immunocompetent individuals or in low-prevalence regions.
Details
- Title: Subtitle
- Non-tuberculous mycobacterial thoracic osteomyelitis in an immunocompetent host: a rare presentation of Mycobacterium kansasii
- Creators
- Taylor Becker - University of Iowa Hospitals and ClinicsMatthew Smith - University of IowaMeredith Parsons - University of IowaMichihiko Goto - University of Iowa
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.15(5), p.e249629
- DOI
- 10.1136/bcr-2022-249629
- PMID
- 35618338
- PMCID
- PMC9137344
- NLM abbreviation
- BMJ Case Rep
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 05/26/2022
- Academic Unit
- Infectious Diseases; Pathology; Internal Medicine
- Record Identifier
- 9984359684802771
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