Subdural empyma due to Mycobacterium fortuitum in a non-HIV patient

A 14-year-old male child presented with high grade intermittent fever with altered sensorium since 5-6 days and generalised seizures. On examination neck stiffness noticed with normal haemogram and chest X-ray. CSF microscopy was normal and no growth seen in aerobic culture. CT scan showed loculated...

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Bibliographic Details
Published in:Indian journal of medical microbiology 2014-10, Vol.32 (4), p.446-448
Main Authors: Tankhiwale, SS, Katkar, VJ
Format: Article
Language:English
Subjects:
Acids
Human immunodeficiency virus
Microscopy
Mycobacterium fortuitum
Nervous system
non-hiv patient
Nosocomial infections
Organisms
Prostheses
pus
subdural abscess
Surgery
Tuberculosis
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Summary:A 14-year-old male child presented with high grade intermittent fever with altered sensorium since 5-6 days and generalised seizures. On examination neck stiffness noticed with normal haemogram and chest X-ray. CSF microscopy was normal and no growth seen in aerobic culture. CT scan showed loculated lesion. Drained pus showed acid fast organism and culture on Lowestein Jensen medium showed pale-coloured growth on 3rd day. Organism identified as Mycobacterium fortuitum by biochemical test. Interesting aspect of this case was there is no history of trauma or injection and patient was negative for HIV antibody.
ISSN:0255-0857
1998-3646
DOI:10.4103/0255-0857.142251