A rare and challenging case of pulmonary mycobacterium genavense in an immunocompetent adult / Nur ‘Aini Eddy Warman and Nurul Yaqeen Mohd Esa.

• Main Authors: Eddy Warman, Nur ‘Aini, Mohd Esa, Nurul Yaqeen
• Format: Article
• Language: English
• Published: Universiti Teknologi MARA Cawangan Selangor 2018
• Subjects: QR Microbiology; Bacteria
• Online Access: http://ir.uitm.edu.my/id/eprint/30082/1/AJ_NUR%20%27AINI%20EDDY%20WARMAN%20JCHS%20B%2018.pdf; http://ir.uitm.edu.my/id/eprint/30082/; https://jchs-medicine.uitm.edu.my/images/manuscript/vol3issue1/case-report/p47-50/A-Rare-and-Challenging-Case-of-Pulmonary-Mycobacterium-genavense-in-an-Immunocompetent-Adult.pdf

Mycobacterium genavense, a non-tuberculous mycobacterium (NTM), usually affects patients severely immunodeficient from human immunodeficiency virus (HIV) infection or any other immunocompromised states. We reported a case in a 70-year-old female with well-controlled diabetes and history of proximal cystic bronchiectasis. She presented with 2 months history of cough, haemoptysis, and night sweats of which serial sputa were positive for acid-fast bacilli and the culture repeatedly grew M. genavense. Treatment with rifampicin, ofloxacin, and clarithromycin was complicated with drug-induced liver injury and intractable gastrointestinal side effects. We also presented a brief review of relevant literature.