Mycobacterium abscessus endocarditis post cardiac cathetrisation-a case report and review of 25 cases (2001–2023)

47 year male underwent percutaneous transluminal coronary angioplasty elsewhere, developed fever after two days, and treated empirically in various hospitals for the subsequent two months. Echocardiography showed vegetation in aortic valve and blood cultures were negative. He was then diagnosed as a...

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Bibliographic Details
Published in:Indian journal of medical microbiology 2024-01, Vol.47, p.100517, Article 100517
Main Authors: G, Vithiya, Sundaram, P. Shunmuga
Format: Article
Language:English
Subjects:
Coronary angiography
Endocarditis
Macrolide
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Summary:47 year male underwent percutaneous transluminal coronary angioplasty elsewhere, developed fever after two days, and treated empirically in various hospitals for the subsequent two months. Echocardiography showed vegetation in aortic valve and blood cultures were negative. He was then diagnosed as a case of endocarditis due to M. abscessus in our centre by repeated positive blood cultures. After treatment with Imipenem, Amikacin and clarithromycin in the background of pancytopenia, patient was discharged with advice to continue antibiotics and planned for aortic valve replacement. Patient was noncompliant to treatment, readmitted with worsening symptoms, developed multiorgan failure and subsequently died of infection.
ISSN:0255-0857
DOI:10.1016/j.ijmmb.2023.100517