Title |
Isolation of Mycobacterium arupense from pleural effusion: culprit or not?
|
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Published in |
BMC Infectious Diseases, May 2018
|
DOI | 10.1186/s12879-018-3136-3 |
Pubmed ID | |
Authors |
Xian Zhou, Qiaoling Ruan, Weimin Jiang, Xinyu Wang, Yuan Jiang, Shenglei Yu, Yu Xu, Jing Li, Yangyi Zhang, Wenhong Zhang, Yuekai Hu |
Abstract |
Mycobacterium arupense, first identified in 2006, is a slow-growing nontuberculous mycobacterium (NTM) and an emerging cause of tenosynovitis, potentially associated with immunosuppression. However, unlike the diagnostic value of its isolation from osteoarticular specimens, the significance of detecting M. arupense in respiratory specimens is not yet clear. To our knowledge, we, for the first time, described the identification of M. arupense from the pleural effusion of an immunocompetent patient, who presented with fever and chylothorax. The symptoms resolved with doxycycline treatment for 45 days and a low-fat, high-protein diet. Follow-up at 14 months showed no relapse. Because the patient fully recovered without combined anti-NTM treatment, we did not consider M. arupense the etiological cause in this case. This indicates that M. arupense detected in pleural effusion is not necessarily a causative agent and careful interpretation is needed in terms of its clinical relevance. |
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Venezuela, Bolivarian Republic of | 1 | 50% |
United Kingdom | 1 | 50% |
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Members of the public | 1 | 50% |
Mendeley readers
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Student > Doctoral Student | 1 | 5% |
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Unspecified | 1 | 5% |
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Computer Science | 1 | 5% |
Other | 3 | 16% |
Unknown | 8 | 42% |