Would you rather treat? A rare case of Mycobacterium scrofulaceum
Mycobacterium scrofulaceum is a rare cause of non-tuberculous mycobacterial infection in adults, primarily affecting the immunocompromised. Pulmonary involvement has been seen in individuals with pre-existing lung pathology. We report a case of a 63-year-old female who presented with abdominal pain,...
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SMC MEDIA SRL
2025-01-01
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Series: | European Journal of Case Reports in Internal Medicine |
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Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/4963 |
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author | Junaid Zafar Sheikh Nonhlanhla Lunjani Hira Gul Louay Kila Brian Casserly |
author_facet | Junaid Zafar Sheikh Nonhlanhla Lunjani Hira Gul Louay Kila Brian Casserly |
author_sort | Junaid Zafar Sheikh |
collection | DOAJ |
description | Mycobacterium scrofulaceum is a rare cause of non-tuberculous mycobacterial infection in adults, primarily affecting the immunocompromised. Pulmonary involvement has been seen in individuals with pre-existing lung pathology. We report a case of a 63-year-old female who presented with abdominal pain, cough and sputum samples yielding M. scrofulaceum, with a normal clinical examination. Initial investigations were unremarkable, prompting abdomen and pelvis computed tomography (CT), revealing minimal pericardial and ascitic fluid. Thoracic CT exhibited calcified tree-in-bud nodules and a trivial left pleural effusion. Given subdued symptoms and limited disease, discerning colonisation versus clinically relevant infection was uncertain. Due to lack of empirical data for guidance, treatment approaches at this juncture remain unclear. The patient was monitored closely for a period of one year with a plan to treat should there be evidence of active disease. |
format | Article |
id | doaj-art-3bfe70235c8b41a398c120b25ac690a9 |
institution | Kabale University |
issn | 2284-2594 |
language | English |
publishDate | 2025-01-01 |
publisher | SMC MEDIA SRL |
record_format | Article |
series | European Journal of Case Reports in Internal Medicine |
spelling | doaj-art-3bfe70235c8b41a398c120b25ac690a92025-02-04T13:37:21ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0049634498Would you rather treat? A rare case of Mycobacterium scrofulaceumJunaid Zafar Sheikh0Nonhlanhla Lunjani1Hira Gul2Louay Kila3Brian Casserly4Respiratory Medicine, University Hospital Limerick, Limerick, IrelandRespiratory Medicine, University Hospital Limerick, Limerick, Ireland; APC Microbiome Ireland, University College Cork, Cork, Ireland; Division of Dermatology, University of Cape Town, Cape Town, South AfricaRespiratory Medicine, University Hospital Limerick, Limerick, IrelandRespiratory Medicine, University Hospital Limerick, Limerick, IrelandRespiratory Medicine, University Hospital Limerick, Limerick, IrelandMycobacterium scrofulaceum is a rare cause of non-tuberculous mycobacterial infection in adults, primarily affecting the immunocompromised. Pulmonary involvement has been seen in individuals with pre-existing lung pathology. We report a case of a 63-year-old female who presented with abdominal pain, cough and sputum samples yielding M. scrofulaceum, with a normal clinical examination. Initial investigations were unremarkable, prompting abdomen and pelvis computed tomography (CT), revealing minimal pericardial and ascitic fluid. Thoracic CT exhibited calcified tree-in-bud nodules and a trivial left pleural effusion. Given subdued symptoms and limited disease, discerning colonisation versus clinically relevant infection was uncertain. Due to lack of empirical data for guidance, treatment approaches at this juncture remain unclear. The patient was monitored closely for a period of one year with a plan to treat should there be evidence of active disease.https://www.ejcrim.com/index.php/EJCRIM/article/view/4963non-tuberculous mycobacteriumpulmonary mycobacterium scrofulaceum |
spellingShingle | Junaid Zafar Sheikh Nonhlanhla Lunjani Hira Gul Louay Kila Brian Casserly Would you rather treat? A rare case of Mycobacterium scrofulaceum European Journal of Case Reports in Internal Medicine non-tuberculous mycobacterium pulmonary mycobacterium scrofulaceum |
title | Would you rather treat? A rare case of Mycobacterium scrofulaceum |
title_full | Would you rather treat? A rare case of Mycobacterium scrofulaceum |
title_fullStr | Would you rather treat? A rare case of Mycobacterium scrofulaceum |
title_full_unstemmed | Would you rather treat? A rare case of Mycobacterium scrofulaceum |
title_short | Would you rather treat? A rare case of Mycobacterium scrofulaceum |
title_sort | would you rather treat a rare case of mycobacterium scrofulaceum |
topic | non-tuberculous mycobacterium pulmonary mycobacterium scrofulaceum |
url | https://www.ejcrim.com/index.php/EJCRIM/article/view/4963 |
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