An immunocompetent female with Mycobacterium abscessus cervical lymphadenitis mimicking malignancy

Tan, Jessica Yan Qi; Shafi, Humaira

doi:10.1016/j.ijid.2021.02.044

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2024

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“…For NTM lymphadenitis secondary to rapidly growing mycobacteria, surgical intervention may be required if the infection is extensive. From our review of the literature, cervical lymphadenitis from M. abscessus in immunocompetent adults has only very rarely been reported to date 18. There are also rare cases of this entity in children 19.…”

Section: Discussionmentioning

confidence: 93%

Cervical lymphadenitis from Mycobacterium avium complex

Coe,

Puius,

Jain

et al. 2024

BMJ Case Rep

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We present an instructive case of cervical lymphadenitis in a young man without a history of HIV infection. The patient developed spontaneous left-sided neck swelling that progressed over 4 months. CT imaging demonstrated a necrotic left-sided neck mass within the cervical lymph node chain. He was initially prescribed azithromycin and rifampin for presumed cat scratch disease with improvement but incomplete resolution of symptoms. Blood cultures ordered 2 months later grewMycobacterium aviumcomplex (MAC) and the patient had an excellent clinical response to MAC therapy. Here, we review the case, including presentation and management, and describe the implications for the immune status of the host and long-term considerations for treatment.

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Section: Discussionmentioning

confidence: 93%