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Urinary Mycobacterium fortuitum infection

Harnwegsinfektion durch mycobacterium fortuitum

Summary

Mycobacterium fortuitum, a common saprophyte usually found in water and soil, can also be isolated from sputum and gastric secretions of healthy carriers. Under certain conditions, significant clinical infections due toM. fortuitum do occur. Urinary tract infections are rarely caused by atypical mycobacteria. This report describes a urinary tract infection caused byM. fortuitum in a 73-year-old patient treated with corticosteroids for bronchial asthma, who was successfully treated with ofloxacin.

Zusammenfassung

Mycobacterium fortuitum ist ein Saprophyt, der für gewöhnlich in Wasser und Erde nachzuweisen ist, aber auch aus Sputum und Magensekret gesunder Träger isoliert wird. Unter bestimmten Bedingungen können schwere klinische Infektionen durchM. fortuitum ausgelöst werden. Harnwegsinfektionen durch atypische Mykobakterien sind selten. Im folgenden Bericht wird eine Harnwegsinfektion durchM. fortuitum bei einem 73 Jahre alten Patienten beschrieben, der wegen Asthma bronchiale mit Kortikosteroiden behandelt wurde. Die Therapie mit Ofloxacin war erfolgreich.

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References

  1. Wolinsky, E. Non-tuberculous mycobacteria and associated diseases. Am. Rev. Resp. Dis. 119 (1979) 107–159.

    Google Scholar 

  2. Edwards, L. B., Palmer, C. E. Isolation of atypical mycobacteria from healthy persons. Am. Rev. Resp. Dis. 80 (1959) 747–749.

    Google Scholar 

  3. Pergament, M., Gonzales, R., Fraley, E. E. Atypical mycobacteria of the urinary tract. A case report of extensive disease caused by theBettey bacillus. JAMA 229 (1974) 816–817.

    Google Scholar 

  4. Newman, H. Renal disease associated with atypical mycobacteria: balley type. J. Urol. 103 (1970) 403–405.

    Google Scholar 

  5. Rosen, D. I. M. fortuitum in the urinary tract. J. Urol. 144 (1975) 915–952.

    Google Scholar 

  6. Lee, L. W., Burgher, L. W., Price, E. B., Cassidy, D. Granulomatous prostatitis, association with isolation ofMycobacterium kansasii and Mycobacterium fortuitum. JAMA 237 (1977) 2408–2409.

    Google Scholar 

  7. De Costa, Cruz, J. C. M. fortuitum un nowo bacilo acido resistence pathogenico para o homen. Acta Med. Rio de Janeiro 1 (1983) 297–301.

    Google Scholar 

  8. Hoffman, P. C., Fraser, D. W., Robicsek Two outbreaks of sternal wound infections due to organisms of theMycobacterium fortuitum complex. J. Inf. Dis. 143 (1981) 533–542.

    Google Scholar 

  9. Woods, G. L., Hall, G. S., Schreiber, M. J. M. fortuitum peritonitis associated with continuous ambulatory peritoneal dialysis. J. Clin. Microb. 23 (1986) 786–788.

    Google Scholar 

  10. Clegg, H. W., Foster, M. T., Sandres, W. E., Baine, W. B. Infection due toM. fortuitum complex after augmentation mammoplasty: clinical and epidemiologye features. J. Infect. Dis. 147 (1983) 427–433.

    Google Scholar 

  11. Santamaria-Jauregui, J., Sanz-Hospital, J. Brenguer, J., Munoz, D., Gomez-Mampaso, E., Bouza, E. Meningitis caused byM. fortuitum, Am. Rev. Resp. Dis. 130 (1983) 136–137.

    Google Scholar 

  12. Jennifer, F. H., Rolston, K. V., Hopfer, R. L., Bodey, G. P. Mycobacterium fortuitum bacteremia in patients with cancer and long-term venous catheters. Am. J. Med. 82 (1987) 213–217.

    Google Scholar 

  13. Swenson, J. A., Wallace, R. J., Silcox, V. A., Thornsberry, C. Antimicrobial suseeptibility of five subgroups ofMycobacterium fortuitum andMycobacterium chelonae. Antimicrob. Agents Chemother. 28 (1985) 807–810.

    Google Scholar 

  14. Wallace, R. J., Swenson, J. M., Silcox, V. A., Bullen, M. G. Treatment of nonpulmonary infections due toMycobacterium fortuitum andMycobacterium chelonei on the basis of in vitro susceptibilities. J. Infect. Dis. 152 (1985) 500–514.

    Google Scholar 

  15. Garcia-Rodriguez, J. A. Activity of quinolones against mycobacteria — “in vitro” and “in vivo”. Quinol. Bulletin 4 (1988) 21–25.

    Google Scholar 

  16. Hass, H., Zuali, R., Sachs, V. Susceptibility ofM. fallax to imipenem and seventy other antimicrobial agents. Eur. J. Clin. Microbiol. 3 (1984) 489–492.

    Google Scholar 

  17. Casal, M. J., Rodriguez, F. C., Benavente, M. C. In vitro susceptibility ofMycobacterium fortuitum andMycobacterium chelonei to Cefmetazole. Antimicrob. Agents Chemother. 27 (1985) 282–283.

    Google Scholar 

  18. Leysen, D. C., Haemers, A., Pattyn, S. R. Mycobacteria and the new quinolones. Antimicrob. Agents Chemother. 33 (1989) 1–5.

    Google Scholar 

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Oren, B., Raz, R. & Hass, H. Urinary Mycobacterium fortuitum infection. Infection 18, 105–106 (1990). https://doi.org/10.1007/BF01641426

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  • DOI: https://doi.org/10.1007/BF01641426

Keywords

  • Asthma
  • Corticosteroid
  • Urinary Tract Infection
  • Family Medicine
  • Ofloxacin