Disseminated Mycobacterium abscessus with endocarditis

BMJ Case Rep. 2024 Mar 13;17(3):e255390. doi: 10.1136/bcr-2023-255390.

Abstract

We present an uncommon case of endocarditis caused by Mycobacterium abscessus in an immunocompetent patient following a caesarean section. We discuss her turbulent admission course leading to her diagnosis following persistent M. abscessus bacteraemia, medical and surgical management, including a splenectomy and valve resection and repair, and subsequent prolonged course of combination antimicrobials for 24 months post valve surgery. The patient is alive 9 months after completing her treatment and 36 months after her valve surgery. We emphasise the importance of a multidisciplinary team approach in the management of such a complex case.

Keywords: Infectious diseases; Tropical medicine (infectious disease).

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Cesarean Section
  • Endocarditis* / microbiology
  • Female
  • Humans
  • Mycobacterium Infections, Nontuberculous* / diagnosis
  • Mycobacterium Infections, Nontuberculous* / drug therapy
  • Mycobacterium abscessus*
  • Pregnancy

Substances

  • Anti-Bacterial Agents