Mycobacterium mageritense Parotitis in an Immunocompetent Adult

Abstract

, a rapidly growing mycobacterium, is a rare clinical pathogen. Furthermore, parotitis due to non-tuberculosis mycobacterium is very rare in adults. Herein, we report the first case of parotitis in an immunocompetent adult. A 40-year-old man presented with swelling in a left parotid lesion. He was diagnosed with parotitis. The culture from the parotid abscess grew. He was unsuccessfully treated with levofloxacin monotherapy. Trimethoprim-sulfamethoxazole was added, leading to some clinical response; however, the erythema persisted despite 14 months of antibiotic therapy. Subsequently, the skin lesion was surgically removed. The antibiotic treatment was ceased a week after surgery as the postoperative course was uneventful and the lesion had improved. No recurrence was noted at 7 months after surgery. Although extremely rare, can cause parotitis in immunocompetent adults, and may not be sufficiently treated with antibiotics alone.

Device-related<i> Mycobacterium mageritense</i> Infection in a Patient Treated with Nivolumab for Metastatic Breast Cancer

“…The present patient had had no exposure to such environments and was not involved in activities like gardening, so the route of infection was unknown. Although human infections due to M. mageritense are rare, some case reports involving skin and soft tissue infections, especially surgical site infection and catheter-related bloodstream infection, have been published (12)(13)(14)(15). In our case, the patient also developed M. mageritense infection after the CVAP was inserted.…”

“…M. mageritense is susceptible to amikacin, fluoroquinolone, trimethoprim-sulfamethoxazole, imipenem, and linezolid (15). Although no standard treatment has been established, previous reports have shown susceptibility of M. mageritense to a combination of the abovementioned drugs (12)(13)(14)(15).…”

Multiple Recalcitrant Draining Sinuses Caused by <i>Mycobacterium mageritense</i> Following Laparoscopic Cholecystectomy: a Case Report and Brief Review of Literature

“…in 1987 and was described as a new species by Domenech in 1997 (1). It has been seldom reported to cause serious human infections (2). We report here a highly recalcitrant case of subcutaneous infection with M. mageritense after laparoscopic cholecystectomy in which matrixassisted laser desorption ionisation-time-of-flight mass-spectrometry (MALDI-TOF MS) enabled rapid species identification.…”

Mycobacterium mageritense Lymphadenitis in Child

“…It is not surprising that they also seem to have the same clinical spectrum ( 2 ). Although human infections caused by M. mageritense are rare, there are case reports involving sinusitis, pneumonia, and hospital-acquired infections, including catheter-related bloodstream infections, implantable cardioverter defibrillator-related infections, prosthetic valve endocarditis, and intrathecal catheter-related meningitis ( 2 , 4 , 5 ). Skin and soft tissue infections, including parotitis, furunculosis, and surgical site infections, have also been reported ( 4 ).…”