Lung Infection Caused by Mycobacterium riyadhense Confused with Mycobacterium tuberculosis: The First Case in Korea
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A slowly growing, non-chromogenic mycobacterial strain was isolated from sputum and bronchial lavage fluid samples of a patient presenting with productive cough, blood-tinged sputum, low-grade fever, and weakness. A positive acid-fast bacilli sputum smear result prompted the initiation of an anti-tuberculosis regimen. Multiplex real-time PCR showed a negative result for Mycobacterium tuberculosis complex and a positive result for nontuberculous mycobacteria. The DNA chip test confirmed this organism as a member of the genus Mycobacterium, but could not specify the species. Interestingly, the mycolic acid patterns obtained by HPLC nearly overlapped with those of M. simulans. The sequences of the Mycobacterium 16S rRNA gene and 16S-23S internal transcribed spacer region were unique and were found to have 100% similarity with those of M. riyadhense. After a review of the literature, we report this case as the first Korean case of M. riyadhense lung infection.
Abstract
A slowly growing, non-chromogenic mycobacterial strain was isolated from sputum and bronchial lavage fluid samples of a patient presenting with productive cough, blood-tinged sputum, low-grade fever, and weakness. A positive acid-fast bacilli sputum smear result prompted the initiation of an anti-tuberculosis regimen. Multiplex real-time PCR showed a negative result for Mycobacterium tuberculosis complex and a positive result for nontuberculous mycobacteria. The DNA chip test confirmed this organism as a member of the genus Mycobacterium, but could not specify the species. Interestingly, the mycolic acid patterns obtained by HPLC nearly overlapped with those of M. simulans. The sequences of the Mycobacterium 16S rRNA gene and 16S-23S internal transcribed spacer region were unique and were found to have 100% similarity with those of M. riyadhense. After a review of the literature, we report this case as the first Korean case of M. riyadhense lung infection.
참고문헌 (24)
- Tortoli E., "The new mycobacteria: an update", FEMS Immunol Med Microbiol, 48, pp.159~178 (2006)
- McNabb A, "Assessment of partial sequencing of the 65-kilodalton heat shock protein gene (hsp65) for routine identification of Mycobacterium species isolated from clinical sources", J Clin Microbiol, 42, pp.3000~3011 (2004)
- Griffith DE, "An official ATS", IDSA statement: diagnosis, treatment, and prevention of non-tuberculous mycobacterial diseases, 2007, pp.175, 367~416
- "Management of opportunist mycobacterial infections: Joint Tuberculosis Committee Guidelines 1999", Thorax, 55, pp.210~218 (2000), Subcommittee of the Joint Tuberculosis Committee of the British Thoracic Society
- Forbes BA, "Bailey and Scott’s Diagnostic Microbiology. 12th ed", pp.481~ (2007), Mosby Elsevier
- Kim HJ, "Current situation of tuberculosis and its control in Korea", J Korean Med Assoc, 49, pp.762~772 (2006)
- Prince DS, "Infection with Mycobacterium avium complex in patients without predisposing conditions", N Engl J Med, 321, pp.863~868 (1989)
- Arend SM, "Diagnosis and treatment of lung infection with nontuberculous mycobacteria", Curr Opin Pulm Med, 15, pp.201~208 (2009)
- van Ingen J, "Mycobacterium riyadhense sp. nov., a non-tuberculous species identified as Mycobacterium tuberculosis complex by a commercial line-probe assay", Int J Syst Evol Microbiol, 59, pp.1049~1053 (2009)
- Tortoli E, "Infection due to a novel mycobacterium, mimicking multidrug-resistant Mycobacterium tuberculosis", Clin Microbiol Infect, 16, pp.1130~1134 (2010)
- Lévy-Frébault VV, "Proposed minimal standards for the genus Mycobacterium and for description of new slowly growing Mycobacterium species", Int J Syst Bacteriol, 42, pp.315~323 (1992)
- Torkko P, "Separation among species of Mycobacterium terrae complex by lipid analyses: comparison with biochemical tests and 16S rRNA sequencing", J Clin Microbiol, 36, pp.499~505 (1998)
- Jeong J, "The use of High Perfomance Liquid Chromatography to speciate and characterize the epidemiology of Mycobacteria", Lab Med, 42, pp.612~617 (2011)
- Schuurman T, "Prospective study of use of PCR amplification and sequencing of 16S ribosomal DNA from cerebrospinal fluid for diagnosis of bacterial meningitis in a clinical setting", J Clin Microbiol, 42, pp.734~740 (2004)
- Telenti A, "Rapid identification of mycobacteria to the species level by polymerase chain reaction and restriction enzyme analysis", J Clin Microbiol, 31, pp.175~178 (1993)
- Larkin MA, "Clustal W and Clustal X version 2", Bioinformatics, 23, pp.2947~2948 (2007)
- Clinical and Laboratory Standards Institute, "Susceptibility testing of Mycobacteria, Nocardia, and other aerobic actinomycetes, In Approved Standard M24-A2. 2nd ed", Clinical and Laboratory Standards Institute, ~ (2011)
- Rodriquez-Aranda A, "Misidentification of Mycobacterium kumamotonense as M. tuberculosis", Emerg Infect Dis, 16, pp.1178~1180 (2010)
- Godreuil S, "Mycobacterium riyadhense pulmonary infection, France and Bahrain", Emerg Infect Dis, 18, pp.176~178 (2012)
- Tortoli E, "Performance assessment of new multiplex probe assay for identification of mycobacteria", J Clin Microbiol, 39, pp.1079~1084 (2001)
- Springer B, "Two-laboratory collaborative study on identification of mycobacteria: molecular versus phenotypic methods", J Clin Microbiol, 34, pp.296~303 (1996)
- Burman WJ, "Review of false-positive cultures for Mycobacterium tuberculosis and recommendations for avoiding unnecessary treatment", Clin Infect Dis, 31, pp.1390~1395 (2000)
- Nah J, "Identification of Mycobacterium tuberculosis complex using a gene probe method", Korean J Clin Pathol, 17, pp.71~78 (1997)
- Reisner BS, "Use of Gen-Probe AccuProbes to identify Mycobacterium avium complex, Mycobacterium tuberculosis complex, Mycobacterium kansasii, and Mycobacterium gordonae directly from BACTEC TB broth cultures", J Clin Microbiol, 32, pp.2995~2998 (1994)