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Journal of Clinical Microbiology, November 2009, p. 3777-3779, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.00627-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Refractory Bacteremia and Osteomyelitis Resulting in Fatal Bacteremic Pneumonia with Multiorgan Failure Caused by Mycobacterium simiae in a Non-Human Immunodeficiency Virus-Infected Adult {triangledown}

Kuei-Pin Chung,1 Tzu-Hsiu Tsai,1 Yu-Tsung Huang,1,2 and Po-Ren Hsueh1,2*

Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan,1 Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan2

Received 27 March 2009/ Returned for modification 3 August 2009/ Accepted 25 August 2009

Bacteremic pneumonia caused by Mycobacterium simiae in non-human immunodeficiency virus (HIV)-infected patients has rarely been reported. We describe a non-HIV-infected adult with refractory bacteremia, osteomyelitis, and colonization of M. simiae in the respiratory tract who subsequently developed fatal bacteremic pneumonia. The isolate was confirmed as M. simiae by 16S rRNA gene analysis.

* Corresponding author. Mailing address: Departments of Laboratory Medicine and Internal Medicine, National Taiwan University, No. 7, Chung-Shan S. Rd., 100 Taipei, Taiwan. Phone: 886-2-3123456. Fax: 886-2-23224263. E-mail: hsporen{at}ntu.edu.tw

{triangledown} Published ahead of print on 2 September 2009.

Journal of Clinical Microbiology, November 2009, p. 3777-3779, Vol. 47, No. 11
0095-1137/09/$08.00+0     doi:10.1128/JCM.00627-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.





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