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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 2  |  Page : 138-140

Atypical mycobacterial infection, a diagnostic and therapeutic challenge-Case report and review of literature


Department of Microbiology, Institute of Post-Graduate Medical Education and Research, 244 AJC Bose Road, Kolkata, West Bengal, India

Correspondence Address:
Dr. Nupur Pal
Department of Microbiology, Institute of Postgraduate Medical Education and Research, 244 A.J.C. Bose Road, Kolkata - 700 020, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_33_18

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As atypical mycobacterial disease is very difficult to be differentiated from Mycobacterium tuberculosis, mycobacterial culture results can be the corner stone to solve the problem and avoid the un-necessary suffering of the patient and in the same time it helps in prescribing the correct drug regime for the patient. Here we present a case of a 23-year-old female who underwent LUCS one year back that was complicated with development of multiple abdominal wall abscesses. Initially she was treated with a combination of intermittent surgical drainage and prolonged antibiotic course, later antitubercular drugs were put on based on the positive AFB smear and biopsy report. This case is of interest that Mycobacterium abscessus was isolated from the patient who was improved after therapy with sensitive drugs. Our case highlights the fact that NTM disease should be put into consideration in patients with positive AFB smear and requires referral of samples to specialized microbiology laboratories.


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