Mycobacterium ulcerans lung infection in an immunocompetent patient
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BMJ Publishing Group
Abstract
Mycobacterium ulcerans has been implicated in cutaneous manifestations in humans, causing persistent wounds called Buruli ulcer. However, it has not been associated with pulmonary infections in humans to date. Herein, we report a case of an immunocompetent adult man with no underlying medical problems presenting with dyspnoea and generalised malaise and diagnosed with M. ulcerans lung infection. The patient was prescribed clarithromycin 500 mg two times per day, rifampin 300 mg two tablets daily and moxifloxacin 400 mg daily for 6 months, with complete resolution of his symptoms. ©
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Keywords
Infectious diseases, Tb and other respiratory infections, Adult, Buruli ulcer, Clarithromycin, Humans, Lung, Male, Mycobacterium ulcerans, Rifampin, C reactive protein, Ethambutol, Moxifloxacin, Rifampicin, Acid fast bacterium, Article, Bacterium isolation, Body weight loss, Bronchography, Bronchoscopy, Cachexia, Case report, Clinical article, Clinical feature, Computer assisted tomography, Coughing, Crackle, Differential diagnosis, Dyspnea, Erythrocyte sedimentation rate, Fever, Human, Image analysis, Immunocompetence, Laboratory test, Lung consolidation, Lung infection, Lung lavage, Malaise, Neutrophilia, Physical examination, Polymerase chain reaction, Protein blood level, Thorax radiography, Treatment duration, Treatment response, Tuberculin test, Microbiology