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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Main Authors: Junaid Zafar Sheikh, Nonhlanhla Lunjani, Hira Gul, Louay Kila, Brian Casserly
Format: Article
Language:English
Published: SMC MEDIA SRL 2025-01-01
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.
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institution Kabale University
issn 2284-2594
language English
publishDate 2025-01-01
publisher SMC MEDIA SRL
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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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