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Journal of Clinical Microbiology, September 1999, p. 3059-3061, Vol. 37, No. 9
Department of Pathology, The Johns Hopkins
Medical Institutions, Baltimore, Maryland 21287-7093
Received 15 January 1999/Returned for modification 11 March
1999/Accepted 27 May 1999
An 81-year-old male with myasthenia gravis developed a cutaneous
infection with Mycobacterium marinum, which apparently
resolved following local heat therapy. Five months later, the patient
developed new skin lesions and pancytopenia. M. marinum was
isolated from his bone marrow. Pulsed-field gel electrophoresis was
performed to determine if the skin and bone marrow isolates were
clonally related. Digestion of the genomic DNA with the restriction
enzymes SpeI and AseI yielded indistinguishable
banding patterns. An epidemiologically unrelated control strain showed
significant banding differences. The results suggest that the
patient's recurrent, disseminated infection was due to recrudescence
of his initial infection rather than reinfection by another strain.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Recurrent, Disseminated Mycobacterium
marinum Infection Caused by the Same Genotypically Defined
Strain in an Immunocompromised Patient
*
Corresponding author. Mailing address: Microbiology,
Meyer B1-193, Department of Pathology, The Johns Hopkins Hospital,
Baltimore, MD 21287-7093. Phone: (410) 955-5077. Fax: (410) 614-8087. E-mail: wmerz{at}pathlan.path.jhu.edu.
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