» Articles » PMID: 32341090

Submandibular Lymphadenitis Due to : First Reported Case from Greece

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2020 Apr 29
PMID 32341090
Authors
Affiliations
Soon will be listed here.
Abstract

An 8-year-old girl with subacute submandibular lymphadenitis and no other complaints is described. After failure of parenteral antistaphylococcal therapy, she underwent incision and drainage of the involved lymph node. The responsible pathogen was identified as by GenoType CM assay and sequencing of the 16S ribosomalRNA (rRNA) gene. The patient remains healthy, 11 months after surgery, even though it took approximately 4 months for the surgical incision to heal completely. While is a relatively common cause of non-tuberculous mycobacteria (NTM) lymphadenitis in Northern Europe, this is the first reported case from Greece. We conclude that in a young child with lymphadenitis without systemic symptoms, the microbiology laboratory should be notified in advance in order to extend the duration of mycobacterial cultures. Application of molecular methods will increase the number of reported cases of rare NTM in the future.

References
1.
Tortoli E, Piersimoni C, Bartoloni A, Burrini C, Callegaro A, Caroli G . Mycobacterium malmoense in Italy: the modern Norman invasion?. Eur J Epidemiol. 1997; 13(3):341-6. DOI: 10.1023/a:1007375114106. View

2.
Gerogianni I, Papala M, Kostikas K, Petinaki E, Gourgoulianis K . Epidemiology and clinical significance of mycobacterial respiratory infections in Central Greece. Int J Tuberc Lung Dis. 2008; 12(7):807-12. View

3.
Lopez-Varela E, Garcia-Basteiro A, Santiago B, Wagner D, van Ingen J, Kampmann B . Non-tuberculous mycobacteria in children: muddying the waters of tuberculosis diagnosis. Lancet Respir Med. 2015; 3(3):244-56. DOI: 10.1016/S2213-2600(15)00062-4. View

4.
Maltezou H, Spyridis P, Kafetzis D . Nontuberculous mycobacterial lymphadenitis in children. Pediatr Infect Dis J. 1999; 18(11):968-70. DOI: 10.1097/00006454-199911000-00006. View

5.
McCrossin C, Mailman T . First Canadian Reports of Cervical Adenitis Due to Mycobacterium Malmoense and a 10-year Review of Nontuberculous Mycobacterial Adenitis. Can J Infect Dis Med Microbiol. 2008; 17(2):123-7. PMC: 2095060. DOI: 10.1155/2006/610304. View