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Sequelae of Rapid Growing Mycobacteria Otomastoiditis in a Child
Michael J. McAvoy, DO;
Michael A. Carron, MD;
Janet Poulik, MD;
Dennis Altinok, MD;
Walter Belenky, MD
Arch Otolaryngol Head Neck Surg. 2009;135(6):602-604.
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INTRODUCTION
Mycobacterium fortuitum and Mycobacterium peregrinum are nontuberculous mycobacteria (NTM). They belong to a subset of NTM known as rapid-growing mycobacteria (RGM), previously designated as Runyon class IV. Rapid-growing mycobacteria are saprophytic, ubiquitous in nature, and generally considered nonpathogenic. Several species of RGM, including M fortuitum and M peregrinum, are potentially pathogenic in humans. Mycobacterium fortuitum infections are typically cutaneous, occurring when the skin barrier has been breached. No pattern of infection by M peregrinum has been established. Herein, we discuss a pediatric case of otomastoiditis that progressed to petrous apicitis, intracranial empyema, and meningitis despite appropriate medical and surgical therapy. Initial laboratory identification in this case listed M fortuitum with a follow-up laboratory identification by the Centers for Disease Control and Prevention (CDC) listing the M fortuitum/M peregrinum group. Because the CDC . . . [Full Text of this Article]
REPORT OF A CASE
COMMENT
AUTHOR INFORMATION
Author Affiliations: Departments of Pediatric Otolaryngology (Drs McAvoy, Carron, and Belenky), Anatomic Pathology (Dr Poulik), and Radiology (Dr Altinok), Children's Hospital of Michigan, Detroit.
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