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Mycobacterium gastri causing disseminated infection in children of same family
Author(s) -
Velayati Ali Akbar,
Boloorsaze Mohammad Reza,
Farnia Parissa,
Mohammadi Foroozan,
Karam Mehrdad Bakshayesh,
Masjedi Mohammad Reza
Publication year - 2005
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.20186
Subject(s) - medicine , abdomen , acid fast , sputum , pathology , fistula , mycobacterium , physical examination , gastroenterology , radiology , tuberculosis
Two children of the same family were admitted to the pediatric ward with a history of productive cough, nocturnal sweats, and weight loss. On physical examination, lymphadenopathy was seen on both sides of the neck and axillae. The sizes of the lymph nodes varied, and some showed fistula formation with drainage. A chest x‐ray of the boy revealed diffuse nodular densities, while in the girl, peribronchial thickening in both lower lung zones and hilar adenopathy were detected. Sonography of the abdomen and pelvis in both cases showed multiple para‐aortic adenopathies with hypodense centers. Microscopic examination of sputum, gastric washings, and node biopsy specimens proved positive for acid‐fast bacilli. Systematic identification of acid‐fast bacilli on Lowenstein‐Jensen culture media identified the isolates as Mycobacterium gastri . These appear to be the first cases of pediatric infection and the fourth report of human infection caused by this atypical Mycobacterium . Pediatr Pulmonol. 2005; 39:284–287. © 2005 Wiley‐Liss, Inc.