Mycobacterium goodii: A Case Report and Review of the Literature. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Salas, Natalie Mariam; Klein, Nicole
• Is Part Of: Infectious diseases in clinical practice. Volume 25:Issue 2(2017:Mar.)
• Publication Date: 2017-03
• Subjects: cardiac -- device -- infection -- mycobacterium -- nontuberculous -- nosocomial -- sulfamethoxazole/trimethoprim; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Periodicals; Electronic journals; 616.9
• DOI: 10.1097/IPC.0000000000000428
• Languages: English
• ISSNs: 1056-9103

Abstract

Abstract : Abstract: Mycobacterium goodii, a rapidly growing nontuberculous mycobacterium, is an emerging pathogen in nosocomial infections. Its inherent resistance patterns make it a challenging organism to treat, and delays in identification can lead to poor outcomes. We present a case of cardiac device pocket infection with M. goodii, complicated by both antibiotic resistance and drug reactions that highlight the challenges faced by clinicians trying to eradicate these infections. We also present a brief review of the English literature surrounding this disease, including a table of all reported cases of M. goodii infections and their outcomes to act as guide for clinicians formulating treatment plans for these infections. A clear understanding of diagnostic methods and treatment caveats is essential to curing infections caused by these organisms. Abstract : The authors present a successfully treated case of Mycobacterium goodii cardiac device pocket infection, complicated by inherent resistance and drug reactions. This case highlights the complexity of treating these infections. This article outlines treatment approaches and caveats, including duration of therapy and when device reimplantation is appropriate.