Cases of severe Mycobacterium avium lung disease occurred in a married couple caused by identical strain

Copyright © 2023 Japanese Society of Chemotherapy, Japanese Association for Infectious Diseases, and Japanese Society for Infection Prevention and Control. Published by Elsevier Ltd. All rights reserved..

Bacteria of the Mycobacterium avium complex, which are environmental organisms found in soil and water, have been found to cause human lung diseases. Although infection is reported to occur in cohabiting patients, the incidence of infection from the single clone remains rarely documented. Herein, we report a case of M. avium lung disease caused by specimens with the same clone strains in a married couple. The wife, a 67-year-old female, had severe M. avium lung disease despite receiving multidrug chemotherapy for eleven years. The husband, a 68-year-old male, died of acute lung injury complicated by M. avium pleurisy. The result of the variable-number tandem-repeat analysis of isolates from serial sputum specimens of both patients indicated that the severe M. avium lung disease in a married couple was caused by the isolates with identical pattern. This case were considered to have acquired clarithromycin resistance during each clinical course, revealing the possibility of infection with a strain that may induce severe pulmonary condition.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy - 29(2023), 8 vom: 01. Aug., Seite 812-815

Sprache:

Englisch

Beteiligte Personen:

Kobayashi, Takehiko [VerfasserIn]
Tsuyuguchi, Kazunari [VerfasserIn]
Yoshida, Shiomi [VerfasserIn]
Arai, Toru [VerfasserIn]
Inoue, Yoshikazu [VerfasserIn]

Links:

Volltext

Themen:

A married couple
Case Reports
Clarithromycin
Clarithromycin resistance
H1250JIK0A
Mycobacterium avium complex
Variable-number tandem-repeat analysis

Anmerkungen:

Date Completed 13.06.2023

Date Revised 13.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jiac.2023.04.016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355984466