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An Unusual Case of Renal Infection with Mycobacterium senegalense
DD07-DD08
Correspondence
Dr. Priyadarshini Shanmugam,
Professor and Head, Department of Microbiology, Chettinad Hospital and Research Institute, Kelambakkam, Chennai-603103, Tamil Nadu, India.
E-mail: priyadarshini0018@gmail.com
Mycobacterium senegalense is a Non Tuberculous Mycobacteria (NTM) that belongs to the rapid growers Mycobacterium fortuitum group. In this case report, the authors describe a unique infection of Mycobacterium senegalense in a 62-year-old diabetic male who had bilateral pyelonephritis and acute kidney injury. The patient had been experiencing on-and-off haematuria for a week. Mycobacterium senegalense is difficult to diagnose due to its expansive symptoms, and routine diagnostic tests have lower sensitivity. Furthermore, it remains resistant to commonly used antibiotics. The patient underwent multiple antibiotic regimens for a long period of time, and the isolate grown from the urine sample was identified as Mycobacterium senegalense using Matrix Assisted Laser Desorption Ionisation-Time of Flight (MALDI-TOF). Finally, the patient responded to antitubercular therapy.