Toto, we're not in Kansas anymore: First reported case of M. persicum septic arthritis

Mitchell G Dumais; Nancy L Wengenack; Andrew P Norgan; Shreyasee Amin; Irene G Sia; Peter C Rhee; Brian J Connelly; Courtney A Arment

doi:10.1016/j.jctube.2023.100352

Toto, we're not in Kansas anymore: First reported case of M. persicum septic arthritis

J Clin Tuberc Other Mycobact Dis. 2023 Mar 3:31:100352. doi: 10.1016/j.jctube.2023.100352. eCollection 2023 May.

Authors

Mitchell G Dumais¹, Nancy L Wengenack², Andrew P Norgan^{2

3}, Shreyasee Amin^{4

5}, Irene G Sia⁶, Peter C Rhee⁷, Brian J Connelly², Courtney A Arment⁴

Affiliations

¹ Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
² Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
³ Division of Anatomic Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
⁴ Division of Rheumatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
⁵ Division of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
⁶ Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
⁷ Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Abstract

In this report, we describe a case of septic arthritis caused by the newly described Mycobacterium persicum (formerly Mycobacterium kansasii complex). The patient's only significant exposure was home gardening. To our knowledge, this represents the first documented case of M. persicum infection in the United States and first septic arthritis.

Keywords: Antibiotic resistance; M. persicum; Mycobacterium; NTM; Septic arthritis.

Publication types

Case Reports