Infective intracardiac lesion in the setting of Mycobacterium franklinii bacteremia identified by cell-free DNA sequencing in a child with acute lymphoblastic leukemia: A potential new foe in intracardiac infections

Bibliographic Details
Title: Infective intracardiac lesion in the setting of Mycobacterium franklinii bacteremia identified by cell-free DNA sequencing in a child with acute lymphoblastic leukemia: A potential new foe in intracardiac infections
Authors: Khalifah A. Aldawsari, Evelina Dedic, Braden Olsen, Haneen Y. Abdella, Manuel R. Cotilla, Danyal M. Khan
Source: IDCases, Vol 34, Iss , Pp e01905- (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Infectious and parasitic diseases
Subject Terms: Mycobacterium cheloanae-abscessus complex, Mycobacterium franklinii, Cardiac thrombus, Microbial cell-free DNA sequencing, Infectious and parasitic diseases, RC109-216
More Details: Mycobacterium franklinii (Mfra) is a recently identified member of the Mycobacterium chelonae-abscessus complex (MCAC), a rapidly growing, acid-fast bacilli that have the potential to cause invasive human infections. Identification of Mfra is crucial for selecting the appropriate antimicrobial therapy, as Mfra displays a unique susceptibility profile compared to other MCAC members. The literature on Mfra is limited, with a few studies focusing on respiratory and skin infections. To our knowledge, we describe the first reported case of cardiac involvement associated with Mfra bacteremia in a patient with acute lymphoblastic leukemia. The isolation of Mfra through a next-generation sequencing test allowed for prompt identification and subsequent implementation of tailored antimicrobial agents, ultimately resulting in positive clinical outcomes. This case also emphasizes the significance of next-generation testing in managing immunocompromised patients with persistent fever.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2214-2509
Relation: http://www.sciencedirect.com/science/article/pii/S2214250923002299; https://doaj.org/toc/2214-2509
DOI: 10.1016/j.idcr.2023.e01905
Access URL: https://doaj.org/article/a3505d4eaee746238204a3bb0814a8bc
Accession Number: edsdoj.3505d4eaee746238204a3bb0814a8bc
Database: Directory of Open Access Journals
More Details
ISSN:22142509
DOI:10.1016/j.idcr.2023.e01905
Published in:IDCases
Language:English