Rapidly growing mycobacteria have occasionally been reported to cause catheter-related infections. We report a case of a central venous catheter-related bacteremia, caused by Mycobacterium smegmatis, in a patient with cancer. Cultures of the catheter tip and blood cultures grew M smegmatis and Enterococcus faecalis. The patient responded to catheter removal and a 3-month course of antibiotics (doxycycline and ciprofloxacin), Based on our experience and the reported experience with other rapidly growing mycobacteria, M smegmatis catheter-related bacteremia should be treated with catheter removal and a course of appropriate antibiotics, based on in vitro susceptibility testing.
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Yale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Paniz-Mondolfi, Alberto
Ladutko, Lynn
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VA Connecticut Healthcare, West Haven, CT USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Ladutko, Lynn
Brown-Elliott, Barbara A.
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Univ Texas Hlth Ctr Tyler, Mycobacteria Nocardia Lab, Tyler, TX USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Brown-Elliott, Barbara A.
Vasireddy, Ravikiran
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Univ Texas Hlth Ctr Tyler, Mycobacteria Nocardia Lab, Tyler, TX USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Vasireddy, Ravikiran
Vasireddy, Sruthi
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Univ Texas Hlth Ctr Tyler, Mycobacteria Nocardia Lab, Tyler, TX USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Vasireddy, Sruthi
Wallace, Richard J., Jr.
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Univ Texas Hlth Ctr Tyler, Mycobacteria Nocardia Lab, Tyler, TX USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Wallace, Richard J., Jr.
Jakubiec, Wesley
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VA Connecticut Healthcare, West Haven, CT USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Jakubiec, Wesley
Brecher, Stephen
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VA Boston Healthcare, West Roxbury, MA USA
Boston Univ, Sch Med, Boston, MA 02118 USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
Brecher, Stephen
Campbell, Sheldon
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Yale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA
VA Connecticut Healthcare, West Haven, CT USAYale Univ, Sch Med, Yale New Haven Hosp, Dept Lab Med, New Haven, CT 06520 USA