Pneumonia due toMycobacterium cosmeticumin a renal transplant recipient

Abstract

A 69-year-old man renal transplant recipient for 4 years, presented with 4-day history of cough and dyspnoea. He was diagnosed with community-acquired pneumonia and treated accordingly. He deteriorated requiring intensive care unit admission and intubation. Mycobacterial culture from bronchoalveolar lavage grew colonies within 7 days of incubation while Mycobacterium tuberculosis PCR was negative. The antibiotic regimen was adjusted to cover for rapidly growing mycobacteria with imipenem, amikacin and clarithromycin. The final culture reported Mycobacterium cosmeticum. He improved on the antibiotic regimen given which the organism turned to be sensitive to. We reported the second case with M. cosmeticum that fulfilled the diagnostic criteria for non-tuberculous mycobacterial lung infection. Improvement of patient’s lung infection on appropriate antibiotics points to a causal relationship.

Pneumonia due to Mycobacterium cosmeticum in a patient with systemic sclerosis: A case report

“… 4 The first batch of bacterial strain was from drains and sinks at a nail salon in Atlanta, Georgia, USA, and a subcutaneous granuloma in a woman in Venezuela undergoing mesotherapy. Subsequently, there were more cases of M. cosmeticum infections reported, 8 , 9 , 10 , 11 , 12 , 13 , 14 including infections in the lung, joint, catheters, ascites, skin, and colon, as well as systemic infection. M. cosmeticum was also detected in the environment.…”