Skip to main content

Advertisement

Log in

Non-tuberculous mycobacterial infection in children with cancer

  • Note
  • Published:
European Journal of Clinical Microbiology and Infectious Diseases Aims and scope Submit manuscript

Abstract

Reported here is the clinical presentation and management of patients with rapidly growing non-tuberculous mycobacterial infection diagnosed in a paediatric oncology unit. A retrospective analysis that correlated patient isolates with the children's cancer registry revealed two cases of non-tuberculous mycobacterial infection; both had been observed within the last 6 years and were due toMycobacterium chelonae. The first case was line-associated and the second was a disseminated infection. In both cases the patients were lymphopenic and had had indwelling vascular catheters. Neither patient was neutropenic. The literature on mycobacterial infection in children with cancer is also reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Navari RM, Sullivan KM, Springmeyer SC, Siegel MS, Meyers JD, Buckner D, Sanders JE, Stewart PS, Clift RA, Fefer A, Storb R, Thomas ED: Mycobacterial infections in marrow transplant patients. Transplantation (1983) 36:509–513

    PubMed  Google Scholar 

  2. Flynn PM, Van Hooser B, Gigliotti F: Atypical mycobacterium infections of Hickman catheter exit sites. Pediatric Infectious Disease Journal (1988) 7:510–513

    PubMed  Google Scholar 

  3. Engler HD, Hass A, Hodes DS, Bottone EJ:Mycobacterium chelonei infection of a Brayiac catheter insertion site. European Journal of Clinical Microbiology & Infectious Diseases (1989) 8:521–523

    Google Scholar 

  4. Wallace RJ Jr, Swenson JM, Silcox VA, Good RC, Tschen JA, Seabury MS: Spectrum of disease due to rapidly growing mycobacteria. Reviews of Infectious Diseases (1983) 5:657–679

    PubMed  Google Scholar 

  5. Hoy JF, Rolston KVI, Hopfer RL, Bodey GP:Mycobacterium fortuitum bacteremia in patients with cancer and long-term venous catheters. American Journal of Medicine (1987) 83:213–217

    PubMed  Google Scholar 

  6. Rodgers GL, Mortensen JE, Blecker-Shelly D, Fisher MC, Long SS: Two case reports and review of vascular catheter-associated bacteremia caused by nontuberculousMycobacteria species. Pediatric Infectious Disease Journal (1996) 15:260–264

    PubMed  Google Scholar 

  7. Stone AB, Schelonka RL, Drehner DM, McMahon DP, Ascher DP: DisseminatedMycobacterium avium complex in non-human immunodeficiency virus-infected pediatric patients. Pediatric Infectious Disease Journal (1992) 11:960–964

    PubMed  Google Scholar 

  8. Schelonka RL, Ascher DP, McMahon DP, Drehner DM, Kuskie MR: Catheter-related sepsis caused byMycobacterium avium complex. Pediatric Infectious Disease Journal (1994) 13:236–238

    PubMed  Google Scholar 

  9. Weinberg M, Berg SL, Feuerstein IM, Pizzo PA, Witebsky FG: Disseminated infection withMycobacterium gordonae: report of a case and critical review of the literature. Clinical Infectious Diseases (1992) 14:1229–1239

    PubMed  Google Scholar 

  10. Holland DJ, Chen SCA, Chew WWK, Gilbert GL:Mycobacterium neoaurum infection of a Hickman catheter in an immunosuppressed patient. Clinical Infectious Diseases (1994) 18:1002–1003

    PubMed  Google Scholar 

  11. Ingram CW, Tanner DC, Durack DT, Kernodle GW Jr, Corey GR: Disseminated infection with rapidly growing mycobacteria. Clinical Infectious Diseases (1993) 16:463–471

    PubMed  Google Scholar 

  12. Horowitz EA, Sanders WE Jr: OtherMycobacterium species. In: Mandell GL, Bennett JE, Dolin R, (eds): Principles and practice of infectious diseases. Churchill Livingstone, New York (1995) pp. 2264–2273

    Google Scholar 

  13. Safranek TJ, Jarvis WR, Carson LA, Cusick LB, Bland LA, Swenson JM, Silcox VA:Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution. New England Journal of Medicine (1987) 317:197–201

    PubMed  Google Scholar 

  14. McWhinney PHM, Yates M, Prentice HG, Thrussel M, Gillespie SH, Kibbler CC: Infection caused byMycobacterium chelonae: a diagnostic and therapeutic problem in the neutropenic patient. Clinical Infectious Diseases (1992) 14:1208–1212

    PubMed  Google Scholar 

  15. Lovat PE, Robinson JH, Windebank KP, Kernahan J, Watson JG: Serial study of T lymphocytes in childhood leukaemia during remission. Pediatric Hematology and Oncology (1993) 10:129–139

    PubMed  Google Scholar 

  16. Wakiguchi H, Kubota H, Hisakawa H, Fujieda M, Kurashige T: Defective natural killer cell activity and deficient production of interferon-g in children with acute lymphoblastic leukaemia. Acta Paediatrica Japonica (1994) 36:361–365

    PubMed  Google Scholar 

  17. Newport MJ, Huxley CM, Huston S, Hawrylowicz CM, Oostra BA, Williamson R, Levin M: A mutation in the interferon-g-receptor gene and susceptibility to mycobacterial infection. New England Journal of Medicine (1996) 335:1941–1949

    PubMed  Google Scholar 

  18. Geertsma MF, Nibbering PH, Pos O, Van Furth R: Interferon-g-activated human granulocytes kill ingestedMycobacterium fortuitum more efficiently than normal granulocytes. European Journal of Immunology (1990) 20:869–873

    PubMed  Google Scholar 

  19. Weinstein RA, Gelmann E, Golomb HM: Disseminated atypical mycobacterial infection in hairy-cell leukaemia. Lancet (1978) ii: 1052–1053

    Google Scholar 

  20. Bennett C, Vardiman J, Glob H: Disseminated atypical mycobacterial infection in patients with hairy cell leukaemia. American Journal of Medicine (1986) 80:891–896

    PubMed  Google Scholar 

  21. Wallace RJ Jr, Brown BA, Onyi GO: Skin, soft tissue and bone infections due toMycobacterium chelonae chelonae: importance of prior corticosteroid therapy, frequency of disseminated infections, and resistance to oral antimicrobials other than clarithromycin. Journal of Infectious Diseases (1992) 122:405–412

    Google Scholar 

  22. American Thoracic Society: Diagnosis and treatment of disease caused by nontuberculous mycobacteria. American Journal of Respiratory and Critical Care Medicine (1997) 156, Supplement 2:1–25

    Google Scholar 

  23. Wallace RJ Jr, Swenson JM, Silcox VA, Bullen MG: Treatment of nonpulmonary infections due toMycobacterium fortuitum andMycobacterium chelonei on the basis of in vitro susceptibilities. Journal of Infectious Diseases (1985) 152:500–514

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Graham, J.C., Tweddle, D.A., Jenkins, D.R. et al. Non-tuberculous mycobacterial infection in children with cancer. Eur. J. Clin. Microbiol. Infect. Dis. 17, 394–397 (1998). https://doi.org/10.1007/BF01691568

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01691568

Keywords

Navigation