Mycoplasma hominis bursitis in a simultaneous pancreas‐kidney transplant recipient: case report and literature review. Issue 6 (24th July 2020)

• Record Type: Journal Article
• Authors: Hulme‐Jones, Jarrod P.; Gordon, David L.; Barbara, Jeffrey A.; Li, Jordan Y.
• Is Part Of: Transplant infectious disease. Volume 22:Issue 6(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-07-24
• Subjects: bursitis -- diabetes -- immunosuppression -- kidney and pancreas transplant -- Mycoplasma hominis; Transplantation of organs, tissues, etc -- Complications -- Periodicals; Communicable diseases -- Periodicals; Infection -- Periodicals; 617.01
• DOI: 10.1111/tid.13392
• Languages: English
• ISSNs: 1398-2273

Abstract

Abstract: Mycoplasma hominis can be isolated frequently from the genitourinary tract of some healthy individuals. On rare occasions, it acts as a pathogen in immunocompromised patients such as transplant recipients. Here, we describe the case of a 39‐year‐old man with end‐stage kidney disease secondary to diabetic nephropathy who received a simultaneous pancreas‐kidney transplant. He developed pancreatitis and arterial thrombosis 2 weeks post‐transplant and required a pancreatectomy. His kidney allograft function remained normal. He developed severe left hip pain 2 weeks post‐transplant with a trochanteric bursal effusion detected on magnetic resonance imaging. The effusion grew M. hominis . The patient was treated with 100 mg of doxycycline twice daily for 9 months with full resolution of the effusion at 4 months post‐treatment. We also review all previously reported M. hominis infections in transplant recipients.