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

被引：0
|
作者：
Jao, Yue-Sai [1 ,2 ,3 ,4 ]
Martinez, Lemuel [1 ,2 ,3 ,4 ]
Carlo, Victor J. [1 ,2 ,3 ,4 ]
Micames, Carlos G. [1 ,2 ,3 ,4 ]
机构：
[1] Univ Puerto Rico, Sch Med Gastroenterol, Fellowship Program, San Juan, PR 00925 USA
[2] Manati Med Ctr, Infect Dis Dept, Manati, PR 00674 USA
[3] Puerto Rico Pathol, Pathol Dept, San Juan, PR 00917 USA
[4] Bella Vista Hosp, Gastroenterol Dept, Mayaguez, PR 00680 USA
来源：
ACG CASE REPORTS JOURNAL | 2023年 / 10卷 / 07期
关键词：
atypical mycobacteria; Mycobacterium fortuitum; liver mass; endoscopic ultrasound (EUS); fine needle aspiration (FNA); LESIONS; BIOPSY;
D O I：
10.14309/crj.0000000000001083
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
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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页数：3
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