Abstract
Seven weeks after being kicked in the face by a cow, a 34-year-old male patient developed a posttraumatic mycobacterial lymphadenitis. A rapidly growing mycobacterial isolate cultured from a surgically drained lymphadenitis pus specimen was identified as Mycobacterium smegmatis by matrix-assisted laser desorption/ionization mass spectrometry and a combination of ITS-, hsp65-, and 16S rRNA-DNA sequence analysis, but as Mycobacterium fortuitum complex using the commercial INNO-LiPA Mycobacteria v2 line probe assay. As it is unclear if the misidentification of this strain is an exception, more research is required.
Keywords:
Case report; HSP65 sequencing; INNO-LiPA; Mycobacterium fortuitum complex; Mycobacterium smegmatis.
Copyright © 2019 Elsevier Inc. All rights reserved.
MeSH terms
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Adult
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Animals
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Cattle
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Diagnostic Errors
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Humans
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Lymphadenitis / diagnosis*
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Lymphadenitis / microbiology
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Lymphadenitis / pathology
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Lymphadenitis / therapy
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Male
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Microbial Sensitivity Tests
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Molecular Diagnostic Techniques / methods*
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Molecular Diagnostic Techniques / standards
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Mycobacterium Infections, Nontuberculous / diagnosis*
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Mycobacterium Infections, Nontuberculous / microbiology
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Mycobacterium Infections, Nontuberculous / pathology
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Mycobacterium Infections, Nontuberculous / surgery
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Mycobacterium fortuitum / chemistry
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Mycobacterium fortuitum / classification*
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Mycobacterium fortuitum / genetics*
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Mycobacterium smegmatis / chemistry
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Mycobacterium smegmatis / classification*
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Mycobacterium smegmatis / genetics*
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Reagent Kits, Diagnostic
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Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
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Treatment Outcome