Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA

Mycobacterium fortuitum is associated with skin and soft-tissue infections, yet isolated liver involvement is rare. A 67-year-old asymptomatic man was referred for endoscopic ultrasound (EUS) to evaluate a gastric lesion and an incidental liver mass. EUS revealed a heterogeneous liver mass that was...

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Autores principales: Jao, Yue-Sai, Martinez, Lemuel, Carlo, Victor J., Micames, Carlos G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328648/
https://www.ncbi.nlm.nih.gov/pubmed/37426570
http://dx.doi.org/10.14309/crj.0000000000001083
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author Jao, Yue-Sai
Martinez, Lemuel
Carlo, Victor J.
Micames, Carlos G.
author_facet Jao, Yue-Sai
Martinez, Lemuel
Carlo, Victor J.
Micames, Carlos G.
author_sort Jao, Yue-Sai
collection PubMed
description Mycobacterium fortuitum is associated with skin and soft-tissue infections, yet isolated liver involvement is rare. A 67-year-old asymptomatic man was referred for endoscopic ultrasound (EUS) to evaluate a gastric lesion and an incidental liver mass. EUS revealed a heterogeneous liver mass that was sampled. Pathology revealed necrotic granulomatous inflammation and positive acid-fast bacilli stain with M. fortuitum deoxyribonucleic acid. Levofloxacin plus trimethoprim and sulfamethoxazole for 3 months were used for complete resolution of liver lesion. Isolated nontuberculous liver involvement is uncommon. We report the first case of a liver mass caused by M. fortuitum diagnosed by EUS-fine needle aspiration.
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spelling pubmed-103286482023-07-08 Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA Jao, Yue-Sai Martinez, Lemuel Carlo, Victor J. Micames, Carlos G. ACG Case Rep J Case Report Mycobacterium fortuitum is associated with skin and soft-tissue infections, yet isolated liver involvement is rare. A 67-year-old asymptomatic man was referred for endoscopic ultrasound (EUS) to evaluate a gastric lesion and an incidental liver mass. EUS revealed a heterogeneous liver mass that was sampled. Pathology revealed necrotic granulomatous inflammation and positive acid-fast bacilli stain with M. fortuitum deoxyribonucleic acid. Levofloxacin plus trimethoprim and sulfamethoxazole for 3 months were used for complete resolution of liver lesion. Isolated nontuberculous liver involvement is uncommon. We report the first case of a liver mass caused by M. fortuitum diagnosed by EUS-fine needle aspiration. Wolters Kluwer 2023-07-07 /pmc/articles/PMC10328648/ /pubmed/37426570 http://dx.doi.org/10.14309/crj.0000000000001083 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence 4.0 (CC BY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jao, Yue-Sai
Martinez, Lemuel
Carlo, Victor J.
Micames, Carlos G.
Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title_full Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title_fullStr Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title_full_unstemmed Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title_short Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA
title_sort liver mass caused by mycobacterium fortuitum: a rare case diagnosed by eus-fna
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328648/
https://www.ncbi.nlm.nih.gov/pubmed/37426570
http://dx.doi.org/10.14309/crj.0000000000001083
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AT carlovictorj livermasscausedbymycobacteriumfortuitumararecasediagnosedbyeusfna
AT micamescarlosg livermasscausedbymycobacteriumfortuitumararecasediagnosedbyeusfna

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