Case of Mycobacterium mucogenicum in a home hemodialysis patient. Issue 4 (9th May 2017)

• Record Type: Journal Article
• Authors: Dhruve, Miten J.; Bunce, Paul E.; D'Gama, Celine; Chan, Christopher T
• Is Part Of: Hemodialysis international. Volume 21:Issue 4(2017)
• Page Start: E79
• Page End: E81
• Publication Date: 2017-05-09
• Subjects: Home hemodialysis -- nontuberculous mycobacteria -- Mycobacterium mucogenicum -- bacteremia; Hemodialysis -- Periodicals; Renal Dialysis -- Periodicals; Renal Dialysis -- Congresses; Hemodialysis, Home -- Congresses; 617.461059
• DOI: 10.1111/hdi.12574
• Languages: English
• ISSNs: 1492-7535

Abstract

Abstract: We present a case of a patient on home hemodialysis who developed Mycobacterium mucogenicum bacteremia. While infections with this particular organism are rare, disseminated infections have been reported and have been associated with significant morbidity and mortality. Diagnosis required appropriate cultures, understanding of natural habitat of organism and complete environmental analysis including blood, dialysis sample port, reverse osmosis and incoming water supply cultures. The patient was treated successfully with systemic antibiotics, removal of central venous catheter, patient education and complete exchange of the hemodialysis circuit.