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Mycobacterium mucogenicum from the Hickman line of an immunocompromised patient
  1. Carolyn Marshall (carmarr{at}aol.com)
  1. NHS, United Kingdom
    1. Julie Samuel (julie.samuel{at}nuth.nhs.uk)
    1. NHS, United Kingdom
      1. Angela Galloway (angela.galloway{at}nuth.nhs.uk)
      1. NHS, United Kingdom
        1. Stephen J Pedler (stephen.pedler{at}nuth.nhs.uk)
        1. NHS, United Kingdom

          Abstract

          Gram's stain of a positive blood culture is the clinician’s first indication of a possible causative infective organism and a guide to suitable antimicrobial therapy prior to cultural and phenotypic identification with susceptibility test results. Occasionally interpretation of a Gram's stain can be difficult or no organisms may be seen if there is a low bacterial load. We report such a case where a positive blood culture taken from the Hickman line of an immunocompromised patient flagged positive at five days incubation but no organisms were seen on Gram's stain. Upon sub culture, a slow growing Gram positive bacillus was isolated which was initially misidentified and reported as a diphtheroid species. The actual identity of this organism and further isolates was later elucidated as Mycobacterium mucogenicum, a rapidly growing nontuberculous mycobacterium (NTM).

          • Blood culture
          • Gram's stain
          • Immunocompromised

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