Mycobacterium fortuitum Bacteraemia in a Immunocompromised Patient of Invasive Ductal Carcinoma of Breast and Long Term Venous Access Device DD01-DD02
Dr. Kopula Satyamurthy Shidharan,
Professor, Department of Microbiology, Sri Ramachandra Medical College and Research Institute,
Chennai-600116, Tamil Nadu, India.
Mycobacterium fortuitum is rapidly growing mycobacteria ubiquitous in nature. We report a case of Mycobacterium fortuitum bacteraemia in a immunocompromised 62-year-old female patient of carcinoma breast who underwent mastectomy one year back. Patient was on intensive chemotherapy for past six months and having in situ intra vascular device. Patient was admitted with complaint of fever on and off for which multiple blood samples were collected from patient for three consecutive days from both peripheral and central venous catheter which was subjected to BACTECÂ® automation system followed by direct microscopic examination and culture. The identification to species level was performed by phenotypic, biochemical and DNA sequencing targeting heat shock protein 65 (hsp 65) gene. Patient improved remarkably on removal of catheter and receiving appropriate antimicrobial therapy.