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Journal of Clinical Microbiology, November 2004, p. 5429-5431, Vol. 42, No. 11
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.11.5429-5431.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Catheter-Related Bloodstream Infection Caused by Mycobacterium brumae

Stephanie A. Lee,1 Issam I. Raad,1 Javier A. Adachi,1 and Xiang Y. Han2*

Sections of Infectious Diseases,1 Clinical Microbiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas2

Received 9 March 2004/ Returned for modification 6 April 2004/ Accepted 9 July 2004

Mycobacterium brumae is a rapidly growing environmental mycobacterial species identified in 1993; so far, no infections by this organism have been reported. Here we present a catheter-related M. brumae bloodstream infection in a 54-year-old woman with breast cancer. The patient presented with high fever (39.7°C), and >1,000 colonies of M. brumae grew from a quantitative culture of blood drawn through the catheter. A paired peripheral blood culture was negative, however, suggesting circulational control of the infection. The patient was treated empirically with meropenem and vancomycin, and the fever resolved within 24 h. The catheter was removed a week later, and from the tip M. brumae was isolated a second time, suggesting catheter colonization. The organism was identified by colonial morphology, sequence analysis of the 16S rRNA gene, and biochemical tests.

* Corresponding author. Mailing address: Department of Laboratory Medicine, Unit 84, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston 77030, Texas. Phone: (713) 792-3515. Fax: (713) 792-0936. E-mail: xhan{at}mdanderson.org.

Journal of Clinical Microbiology, November 2004, p. 5429-5431, Vol. 42, No. 11
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.11.5429-5431.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.



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