Mycobacterium brisbanense lung infection facilitated by steroid induced adrenal insufficiency

APMIS. 2019 Feb;127(2):106-108. doi: 10.1111/apm.12911. Epub 2018 Dec 25.

Abstract

Mycobacterium brisbanense is rapid-growing nontuberculous mycobacteria. It was first described in 2004 as a human pathogen and only one case report has previously been published. We report a case of M. brisbanense infection in a young man with asthma, recurrent lung infections and secondary adrenal insufficiency induced by inhalation steroids and itraconazole use. The mycobacterial infection was successfully treated with a long-term multidrug regimen.

Keywords: Mycobacterium brisbanense; Adrenal insufficiency; nontuberculous mycobacteria; pulmonary infection.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Insufficiency / pathology
  • Adult
  • Amikacin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use*
  • Clarithromycin / therapeutic use
  • Drug Therapy, Combination
  • Humans
  • Male
  • Moxifloxacin / therapeutic use
  • Mycobacterium Infections, Nontuberculous / drug therapy*
  • Mycobacterium Infections, Nontuberculous / microbiology
  • Nontuberculous Mycobacteria / isolation & purification*
  • Respiratory Tract Infections / drug therapy
  • Respiratory Tract Infections / microbiology*
  • Sputum / microbiology

Substances

  • Anti-Bacterial Agents
  • Amikacin
  • Clarithromycin
  • Moxifloxacin