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A disseminated Mycobacterium marinum infection in a renal transplant HIV-infected patient successfully treated with a bedaquiline-containing antimycobacterial treatment: A case report

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  • Additional Information
    • Publication Information:
      Elsevier, 2021.
    • Publication Date:
      2021
    • Collection:
      LCC:Infectious and parasitic diseases
    • Abstract:
      Background: Disseminated Mycobacterium marinum infections occur rarely, in immunocompromised patients. Treatment with a prolonged multi-drug regimen exposes patients to drug–drug interactions and side effects. Case report: We report a case of disseminated M. marinum infection in a 54-year-old renal transplant, HIV-infected woman. Manifestations of the infection were cutaneous and subcutaneous nodules, mediastinal lymph nodes and left pulmonary infiltrate. Empirical treatment for non-tuberculous mycobacteria was initiated with rifabutin, ethambutol and azithromycin. After identifying M. marinum in sputum, due to unfavourable clinical evolution and severe drug-related adverse events, treatment was changed to doxycycline and rifabutin. Digestive and haematologic side effects motivated a change in antimycobacterial treatment to a combination of moxifloxacin and bedaquiline. Tolerance was satisfactory, and the patient was cured after 12 months of treatment. Conclusion: We report (to the authors’ knowledge) the first case of disseminated M. marinum infection successfully treated with a bedaquiline-containing regimen. Bedaquiline could be an alternative to recommended antimicrobial regimens in cases of non-tuberculous mycobacterial disease, including M. marinum infection.
    • File Description:
      electronic resource
    • ISSN:
      1201-9712
    • Relation:
      http://www.sciencedirect.com/science/article/pii/S1201971221003659; https://doaj.org/toc/1201-9712
    • Accession Number:
      10.1016/j.ijid.2021.04.054
    • Accession Number:
      edsdoj.6cc21bc81df4f56aa69a3a354ac880f