A Case of Lung Disease and Vertebral Osteomyelitis Due to Nontuberculous Mycobacteria in a Kidney Transplant Recipient.
- Author:
Junam SHIN
1
;
Soo Min KIM
;
Dae Joong KIM
;
Yoon Goo KIM
;
Ha Young OH
;
Kyeongman JEON
;
Wooseong HUH
Author Information
1. Division of Nephrology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. wooseong.huh@samsung.com
- Publication Type:Case Report
- Keywords:
Lung disease;
Nontuberculous mycobacteria;
Kidney transplantation;
Osteomyelitis
- MeSH:
Bone and Bones;
Candidiasis;
Female;
Humans;
Kidney;
Kidney Transplantation;
Lung;
Lung Diseases;
Mycobacterium avium Complex;
Nontuberculous Mycobacteria;
Osteomyelitis;
Sputum;
Transplants
- From:Korean Journal of Medicine
2013;84(2):299-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nontuberculous mycobacteria (NTM) infections in kidney transplant recipients (KTR) are rare. We describe here a 52-year-old female with vertebral osteomyelitis caused by NTM, who received a kidney transplant 5 years earlier. She had been diagnosed with NTM lung disease 1 year prior. NTM therapy was delayed due to esophageal candidiasis. Mycobacterium intracellulare was isolated from sputum and bone tissue. The pattern of drug-susceptibility testing in both specimens was identical. NTM vertebral osteomyelitis due to direct inoculation is rare, and was in this case a disseminated NTM disease. The subjective symptoms resolved after 4 months of NTM treatment. This suggests that early NTM treatment is important for KTRs who have NTM disease during immunosuppressive therapy.
