Mycobacterium Chimaera Mimicking Sarcoidosis

Methodist Debakey Cardiovasc J. 2018 Oct-Dec;14(4):301-302. doi: 10.14797/mdcj-14-4-301.

Abstract

Mycobacterium chimaera (M. chimaera) is a slow-growing nontuberculous mycobacteria usually associated with pulmonary infection in immunocompromised patients. Attributed to a specific brand of contaminated heater-cooler units used during cardiac surgery, M. chimaera has become a global public health concern due to disseminated infection affecting immunocompetent hosts. Given its nonspecific presenting symptoms and indolent course of infection, M. chimaera can mimic and be misdiagnosed as sarcoidosis. Increased awareness among the medical community and at-risk population should be maintained to facilitate more rapid diagnosis and prevent inappropriate treatment of this potentially devastating condition.

Keywords: cardiac surgery; heater-cooler units; mycobacterium chimaera; sarcoidosis.

Publication types

  • Case Reports

MeSH terms

  • Air Microbiology*
  • Anti-Bacterial Agents / therapeutic use
  • Biopsy
  • Cross Infection / diagnosis*
  • Cross Infection / drug therapy
  • Cross Infection / microbiology
  • Cross Infection / transmission
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Equipment Contamination*
  • Female
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heating / instrumentation*
  • Humans
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous / diagnosis*
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium Infections, Nontuberculous / microbiology
  • Mycobacterium Infections, Nontuberculous / transmission
  • Nontuberculous Mycobacteria / drug effects
  • Nontuberculous Mycobacteria / pathogenicity*
  • Operating Rooms
  • Predictive Value of Tests
  • Sarcoidosis / diagnosis*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents