A case of Mycobacterium goodii infection related to an indwelling catheter placed for the treatment of chronic symptoms attributed to Lyme disease

  • Andrew Shelton | ashelton444@gmail.com Department of Internal Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
  • Luca Giurgea National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, United States.
  • Mahdi Moshgriz Department of Pathology, George Washington University Medical Center, Washington, DC, United States.
  • Marc Siegel Department of Medicine, George Washington University Medical Faculty Associates, Washington, DC, United States.
  • Hana Akselrod Department of Medicine, George Washington University Medical Faculty Associates, Washington, DC, United States.

Abstract

Mycobacterium goodii has only rarely been reported to cause invasive disease in humans. Previously reported cases of M. goodii infection have included prosthetic joint infections, pacemaker pocket infections, and pneumonia. We present a case of bacteremia with concomitant pulmonary septic emboli that developed in a 32-year-old woman with an indwelling central line. The line had been placed one year previously for intermittent treatment with intravenous, broad-spectrum antibiotics, administered by an outside physician for the treatment of symptoms attributed to chronic Lyme disease. The long duration of antibiotic use and presence of a central venous catheter predisposed the patient to this infection. Patients should be counseled regarding the serious risks of long courses of broad-spectrum intravenous antibiotics via central venous catheters to treat non-specific symptoms attributed to Lyme disease.

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Published
2019-09-18
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Issue
Section
Case Reports
Keywords:
Mycobacterium goodii, post Lyme disease syndrome, catheter-associated bloodstream infection, nontuberculous mycobacteria
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How to Cite
Shelton, A., Giurgea, L., Moshgriz, M., Siegel, M., & Akselrod, H. (2019). A case of Mycobacterium goodii infection related to an indwelling catheter placed for the treatment of chronic symptoms attributed to Lyme disease. Infectious Disease Reports, 11(2). https://doi.org/10.4081/idr.2019.8108