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Journal of Clinical Microbiology, April 2005, p. 2015-2017, Vol. 43, No. 4
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.4.2015-2017.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Misidentification of Mycobacterium peregrinum, the Causal Organism of a Case of Bacteremia and Automatic Implantable Cardioverter Defibrillator-Associated Infection, Due to Its Unusual Acid-Fast Staining Characteristics

William R. Short,1 Christopher Emery,2,3 Mallika Bhandary,2 and Judith A. O'Donnell4*

Division of HIV Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania,1 Division of Pathology and Laboratory Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania,2 Microbiology Laboratory, Hahnemann University Hospital, Philadelphia, Pennsylvania,3 Division of Infectious Diseases, Drexel University College of Medicine, Philadelphia, Pennsylvania4

Received 30 August 2004/ Returned for modification 14 November 2004/ Accepted 9 December 2004

We report an unusual case of Mycobacterium peregrinum bacteremia and infection of an automatic implantable cardioverter defibrillator that was originally misidentified as a Nocardia sp. due, in part, to its partially acid-fast staining characteristic, morphology, and odor. The misdiagnosis had a direct effect on patient care, though the patient was subsequently successfully treated.

* Corresponding author. Mailing address: Division of Infectious Diseases, Hahnemann University Hospital, Mailstop 461, Philadelphia, PA 19102. Phone: (215) 762-6555. Fax: (215) 762-3031. E-mail: jao25{at}drexel.edu.

Journal of Clinical Microbiology, April 2005, p. 2015-2017, Vol. 43, No. 4
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.4.2015-2017.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.



This article has been cited by other articles:

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