Pulmonary vasculitis due to infection with Mycobacterium goodii: A case report

Elena Pfeuffer-Jovic; Jan Heyckendorf; Udo Reischl; Rainer M. Bohle; Thorsten Bley; Andreas Buck; Heinrike Wilkens; Hans-Joachim Schäfers; Heinz-Jakob Langen; Matthias Held

International Journal of Infectious Diseases (Mar 2021)

Pulmonary vasculitis due to infection with Mycobacterium goodii: A case report

Elena Pfeuffer-Jovic,
Jan Heyckendorf,
Udo Reischl,
Rainer M. Bohle,
Thorsten Bley,
Andreas Buck,
Heinrike Wilkens,
Hans-Joachim Schäfers,
Heinz-Jakob Langen,
Matthias Held

Affiliations

Elena Pfeuffer-Jovic: Department of Internal Medicine, Respiratory Medicine and Ventilatory Support, Medical Mission Hospital, Central Clinic Würzburg, Academic Teaching Hospital of the Julius Maximilian University of Würzburg, Würzburg, Germany; Corresponding author at: Department of Internal Medicine, Respiratory Medicine and Ventilatory Support, Medical Mission Hospital, Central Clinic Würzburg, Academic Teaching Hospital of the Julius Maximilian University of Würzburg, Medical Mission Hospital, Salvatorstrasse 7, 97074 Würzburg, Germany.
Jan Heyckendorf: German Center for Infection Research (DZIF), Borstel, Germany; University of Lübeck, Lübeck, Germany
Udo Reischl: Institute of Medical Microbiology and Hygiene, University Hospital of Regensburg, Regensburg, Germany
Rainer M. Bohle: Department of Pathology, Saarland University, Homburg Saar, Germany
Thorsten Bley: Clinic for Radiology, Julius Maximilian University of Würzburg, Würzburg, Germany
Andreas Buck: Clinic for Nuclear Medicine, Julius Maximilian University of Würzburg, Würzburg, Germany
Heinrike Wilkens: Department of Internal Medicine V, Pulmonology, Allergology, Respiratory Intensive Care Medicine, Saarland University, Homburg Saar, Germany
Hans-Joachim Schäfers: Department of Thoracic and Cardiovascular Surgery, Saarland University, Homburg Saar, Germany
Heinz-Jakob Langen: Department of Radiology, Medical Mission Hospital, Central Clinic Würzburg, Academic Teaching Hospital of the Julius Maximilian University of Würzburg, Würzburg, Germany
Matthias Held: Department of Internal Medicine, Respiratory Medicine and Ventilatory Support, Medical Mission Hospital, Central Clinic Würzburg, Academic Teaching Hospital of the Julius Maximilian University of Würzburg, Würzburg, Germany

Journal volume & issue: Vol. 104
pp. 178 – 180

Abstract

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A 57-year-old Caucasian woman suffered from dyspnea on exertion. One year following a supposed pulmonary embolism event, a chronic thromboembolic vasculopathy was diagnosed and a pulmonary thromboendarterectomy was performed. However, a granulomatous pulmonary arterial vasculitis was identified upon examination. DNA of Mycobacterium goodii was detected as the most likely causative agent. Anti-inflammatory and anti-mycobacterial therapy was initiated for more than 12 months. Regular PET-CT scans revealed improvement under therapy. The last PET-CT did not show any tracer uptake following 10 months of therapy.

Published in International Journal of Infectious Diseases

ISSN: 1201-9712 (Print); 1878-3511 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases
Website: http://www.journals.elsevier.com/international-journal-of-infectious-diseases/

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