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Abstract
Disseminated Mycobacterium abscessus Infection and Showerheads, Taiwan
Highlights
A 65-year-old woman with Sjögren syndrome sought treatment at National University Taiwan hospital with fever (38.6°C) and a 3-month history of lymphadenopathy over the left neck, left submandibular, and bilateral inguinal areas
M. abscessus bacteria grew on cultures of the excised lymph nodes and 2 sets of blood cultures
A total of 6 swab specimens taken from the interior surface of the showerheads from the 6 bathrooms of the patient’s 2 houses (3 in each house), 1 in Taichung and the other in Taipei, and 6 shower water samples of the 6 bathrooms were submitted for mycobacterial cultures
Summary
A 65-year-old woman with Sjögren syndrome sought treatment at National University Taiwan hospital with fever (38.6°C) and a 3-month history of lymphadenopathy over the left neck, left submandibular, and bilateral inguinal areas. The patient was treated successfully with intravenous antimicrobial drugs for a total of 14 days, followed by oral clarithromycin (500 mg 2×/d) and doxycycline (100 mg 2×/d) therapy for 4 months.
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