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Journal of Clinical Microbiology, August 2004, p. 3894-3897, Vol. 42, No. 8
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.8.3894-3897.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Mycobacterium lentiflavum as an Emerging Causative Agent of Cervical Lymphadenitis

Claudio Piersimoni,1* Gaia Goteri,2 Domenico Nista,1 Alessandro Mariottini,3 Gianna Mazzarelli,4 and Stefano Bornigia1

Departments of Clinical Microbiology,1 Pathology, United Hospitals, Ancona,2 Microbiological and Virological Serum-Immunology Laboratory,3 Cytogenetics and Genetics Unit, Regional Reference Center for Mycobacteria, Careggi Hospital, Florence, Italy4

Received 11 January 2004/ Returned for modification 16 March 2004/ Accepted 14 April 2004

A lymph node excision was performed on a 45-year-old woman with left cervical swelling. The disorder which developed after the patient had undergone oral surgery for a severe periodontal disease failed to respond to antimicrobial chemotherapy. A mycobacterial strain subsequently identified by high-performance liquid chromatography analysis of cell wall mycolic acids as Mycobacterium lentiflavum grew from the excised specimen. This case and previously published reports highlight the relevance of M. lentiflavum as an emerging causative agent of mycobacterial cervical lymphadenitis.

* Corresponding author. Mailing address: Department of Clinical Microbiology, United Hospitals, Via Conca 71, I-60020, Ancona, Italy. Phone: 39 071 596.3049. Fax: 39 071 596.4184. E-mail: piersim{at}tin.it.

Journal of Clinical Microbiology, August 2004, p. 3894-3897, Vol. 42, No. 8
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.8.3894-3897.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.





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