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Case of Mycobacterium mucogenicum in a home hemodialysis patient
Author(s) -
Dhruve Miten J.,
Bunce Paul E.,
D'Gama Celine,
Chan Christopher T
Publication year - 2017
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/hdi.12574
Subject(s) - hemodialysis , medicine , home hemodialysis , intensive care medicine , microbiology and biotechnology , biology
Abstract We present a case of a patient on home hemodialysis who developed Mycobacterium mucogenicum bacteremia. While infections with this particular organism are rare, disseminated infections have been reported and have been associated with significant morbidity and mortality. Diagnosis required appropriate cultures, understanding of natural habitat of organism and complete environmental analysis including blood, dialysis sample port, reverse osmosis and incoming water supply cultures. The patient was treated successfully with systemic antibiotics, removal of central venous catheter, patient education and complete exchange of the hemodialysis circuit.