Abstract

Disseminated infection caused by mycobacterium abscessus is a rare condition, observed in immunodeficient or immunosuppressed individuals. We report a case of disseminated mycobacterium abscessus infection, which occurred in a nine-year-old boy with a ventriculoperitoneal shunt. He presented with features of meningitis, ascites and later developed pleural effusion. This infection closely mimics mycobacterium tuberculosis infection, which is endemic in India. Multidrug therapy with macrolides and aminoglycosides, for prolonged duration, can help to eradicate the organism. Mycobacterium abscessus infections can occur following neurosurgical interventions, with surgical shunts and prostheses acting as the portals of entry, thus prompting strong disinfection and sterilization measures in the operating room.

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