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      Pacemaker infection at generator site by Mycobacterium mageritense: A case report and review of the literature

      case-report
      Author(s): 1 , 2 , 3
      Publication date (Electronic):
      Journal: SAGE Open Medical Case Reports
      Publisher: SAGE Publications
      Keywords: Pacemaker, NTM, mageritense, MOTT

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          Abstract

          We herein report an unusual case of Mycobacterium mageritense pacemaker infection at generator site in a 62-year old female with no pertinent past medical history. Pacemaker-related infections caused by nontuberculous mycobacteria are rare but can lead to significant morbidity and mortality. Mycobacterium mageritense is rarely reported in pacemaker infections and is challenging to treat due to resistance to many antimicrobial agents. In our case, the patient’s pacemaker infection did not respond to standard treatment, leading to complete device removal. Our case highlights the challenges in treating Mycobacterium Mageritense, especially that our patient had a more resistant organism than those reported previously in literature. To our knowledge, such cases are infrequently reported in the literature.

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          Most cited references26

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          Mycobacterium mageritense sp. nov.

          Simon Bull, A Manrique Legaz, P Domenech … (1997)
          Strains of a new species of rapidly growing, nonphotochromogenic mycobacteria, Mycobacterium mageritense, were isolated from human sputum. The growth characteristics, acid fastness, and mycolic acids of the isolates were consistent with those of Mycobacterium species. The isolates were identified as members of a new species by performing a biochemical analysis and DNA-DNA hybridization experiments, and by comparing the sequences of several conserved genes, such as the 16S rRNA, hsp65, and sodA genes. A phylogenetic analysis in which 16S rRNA and sodA sequences were used identified M. mageritense as a novel distinct species and placed M. mageritense between members of the Mycobacterium fortuitum complex and the thermotolerant rapidly growing group. Our results demonstrate that the taxonomic value of sodA sequence analysis in the genus Mycobacterium is similar to the well-established value of 16S rRNA sequence analysis.
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            Furunculosis due to Mycobacterium mageritense associated with footbaths at a nail salon.

            John C Burnett, S Caughman, Amy K Gira … (2004)
            We report two cases of lower-extremity furunculosis caused by Mycobacterium mageritense. Both patients were patrons of the same nail salon, where they received footbaths prior to pedicures. M. mageritense bacteria isolated from two whirlpool footbaths were determined to be closely related to the patient isolates by pulsed-field gel electrophoresis.
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              Clinical and laboratory features of Mycobacterium mageritense.

              J. Hernandez, J Crist, Michael B. Mann … (2002)
              Six clinical isolates of the nonpigmented, rapidly growing species Mycobacterium mageritense were recovered from sputum, bronchial wash, blood, sinus drainage, and two surgical wound infections from separate patients in Texas, New York, Louisiana, and Florida. The isolates matched the ATCC type strain by PCR restriction enzyme analysis of the 65-kDa hsp gene sequence of Telenti, high-performance liquid chromatography, biochemical reactions, and partial 16S rRNA gene sequencing. These are the first isolates of this species to be described in the United States and the first isolates to be associated with clinical disease. Susceptibility testing of all known isolates of the species revealed all isolates to be susceptible or intermediate to amikacin, cefoxitin, imipenem, and the fluoroquinolones and sulfonamides but resistant to clarithromycin. Because of their phenotypic and clinical similarity to isolates of the Mycobacterium fortuitum third biovariant complex (sorbitol positive), isolates of M. mageritense are likely to go undetected unless selected carbohydrate utilization or molecular identification methods are used.
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                Author and article information

                Journal
                Journal ID (nlm-ta): SAGE Open Med Case Rep
                Journal ID (iso-abbrev): SAGE Open Med Case Rep
                Journal ID (publisher-id): SCO
                Journal ID (hwp): spsco
                Title: SAGE Open Medical Case Reports
                Publisher: SAGE Publications (Sage UK: London, England )
                ISSN (Electronic): 2050-313X
                Publication date (Electronic): 20 February 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 2050313X241233196
                Affiliations
                [1 ]Department of Internal Medicine, Mount Auburn Hospital, Cambridge, MA, USA
                [2 ]Division of Endocrinology, American University of Beirut Medical Center, Beirut, Lebanon
                [3 ]Division of Infectious Diseases and Travel Medicine, Department of Medicine, Mount Auburn Hospital, Cambridge, MA, USA
                Author notes
                [*]Rola Kwayess, Division of Endocrinology, American University of Beirut Medical Center, Hamra Street, Beirut 113-6044/C8, Lebanon. Email: rk175@ 123456aub.edu.lb
                Author information
                https://orcid.org/0000-0003-4943-5497
                Article
                Publisher ID: 10.1177_2050313X241233196
                DOI: 10.1177/2050313X241233196
                PMC ID: 10880517
                PubMed ID: 38384984
                SO-VID: 6d2c5e00-7fdb-4e43-b916-eb9672dc802e
                Copyright © © The Author(s) 2024
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 20 June 2023
                Date accepted : 29 January 2024
                Categories
                Subject: Case Report
                Custom metadata
                cover-date January-December 2024
                typesetter ts1

                Keywords: pacemaker,ntm,mageritense,mott
                Data availability:
                Keywords: pacemaker, ntm, mageritense, mott

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