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Journal of Clinical Microbiology, March 2005, p. 1465-1466, Vol. 43, No. 3
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.3.1465-1466.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Spondylitis Due to Mycobacterium xenopi in a Human Immunodeficiency Virus Type 1-Infected Patient: Case Report and Review of the Literature

Agnès Meybeck,1* Claude Fortin,1 Sophie Abgrall,1 Homa Adle-Biassette,2 Gilles Hayem,3 Raymond Ruimy,4 and Patrick Yeni1

Service de Maladies Infectieuses et Tropicales A,1 Service d'Anatomopathologie,2 Service de Rhumatologie,3 Service de Bactériologie, Hôpital Bichat-Claude Bernard, Paris, France4

Received 11 August 2004/ Returned for modification 15 September 2004/ Accepted 3 November 2004

Nontuberculous mycobacterial infections are well known to occur in patients with human immunodeficiency virus infection. However, spondylitis due to mycobacteria other than Mycobacterium tuberculosis is uncommon. We report a case of biopsy- and culture-proven Mycobacterium xenopi spondylitis in an AIDS patient and discuss approaches to diagnosis and therapy. This case serves to highlight the potential pathogenic role of this usually environmental commensal organism in severely immunosuppressed AIDS patients and uncertainties in their management, given the scarce data on appropriate therapy for this organism.

* Corresponding author. Mailing address: Service des Maladies Infectieuses et Tropicales A, Hôpital Bichat-Claude Bernard, 46 rue Henri Huchard, 75018 Paris, France. Phone: 33 1 40 25 48 10. Fax: 33 1 40 87 10 81. E-mail: agnes.meybeck{at}caramail.com.

Journal of Clinical Microbiology, March 2005, p. 1465-1466, Vol. 43, No. 3
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.3.1465-1466.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



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