AI Article Synopsis

  • Mycobacterium marseillense is a newly identified species within the Mycobacterium avium complex, with limited human infections reported globally.
  • A case in Japan involved tenosynovitis in an immunocompetent adult, where the bacteria was first misidentified as M. intracellulare using PCR, later confirmed as M. marseillense through genetic sequencing and MALDI-TOF MS.
  • The study highlights the potential for underreporting M. marseillense infections due to its resemblance to M. intracellulare, suggesting that MALDI-TOF MS can serve as a quick and effective diagnostic tool.

Article Abstract

Background: Mycobacterium marseillense is a new species of the Mycobacterium avium complex. There has been only a few human infections caused by M. marseillense worldwide.

Case Presentation: We report a case of tenosynovitis caused by M. marseillense in an immunocompetent adult in Japan. The isolate was initially identified as M. intracellulare using commercial real time polymerase chain reaction assays and later identified as M. marseillense with sequencing of the the rpoB and hsp65 regions, and matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS).

Conclusions: This is the first case reporting on M. marseillense generating a positive result with commercial real time PCR assays targeting MAC. Human infections associated by M. marseillense might be underreported due to similarities with Mycobacterium intracellulare. To accurately identify M. marseillese, MALDI-TOF MS might provide a rapid and reliable method.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8542306PMC
http://dx.doi.org/10.1186/s12879-021-06770-9DOI Listing

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