Document Type
Article
Publication Date
1-1-2019
Description
Mycobacterium chimaera, a nontuberculous mycobacterium, is a member of the Mycobacterium avium complex (MAC). This microorganism has recently gained significant notoriety for its association with outbreaks in patients exposed to contaminated heater –cooler devices used during open heart surgeries. We report a case of Mycobacterium chimaera pulmonary infection in a healthcare worker who presented with cough, low grade fever and weight loss with evidence of a lung mass that was initially thought to be a tumor on CT scan imaging. The patient underwent partial left lung lobectomy and pathology revealed necrotizing granulomas with acid fast bacilli and a culture grew M. chimaera. The patient received combination antimycobacterial therapy according to susceptibility results for twelve months with complete resolution of his symptoms and radiographic findings. Infection Control investigation could not find a source of infection in the hospital where he worked during the last ten years. However, the patient rotated in different hospitals before coming to work at this facility and assisted in surgeries in several operating rooms where the heater-cooler devices in question were used.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Citation Information
Rosero, Christian I.; and Shams, Wael E.. 2019. Mycobacterium Chimaera Infection Masquerading as a Lung Mass in a Healthcare Worker. IDCases. Vol.15 https://doi.org/10.1016/j.idcr.2019.e00526 ISSN: 2214-2509
Copyright Statement
© 2019 The Authors. Published by Elsevier Ltd.