Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA-Reference-Cited by-同舟云学术

Liver Mass Caused by Mycobacterium fortuitum: A Rare Case Diagnosed by EUS-FNA

Published:2023-07 Issue:7 Volume:10 Page:e01083
ISSN:2326-3253
Container-title:ACG Case Reports Journal
language:en
Short-container-title:ACG Case Rep J

Author:

Jao Yue-Sai¹²³⁴^ORCID,Martinez Lemuel¹²³⁴,Carlo Victor J.¹²³⁴,Micames Carlos G.¹²³⁴

Affiliation:

1. Fellowship Program, University of Puerto Rico School of Medicine Gastroenterology, San Juan, Puerto Rico

2. Infectious Disease Department, Manati Medical Center, Manati, Puerto Rico

3. Pathology Department, Puerto Rico Pathology, San Juan, Puerto Rico

4. Gastroenterology Department, Bella Vista Hospital, Mayaguez, Puerto Rico

Abstract

ABSTRACT Mycobacterium fortuitum is associated with skin and soft-tissue infections, yet isolated liver involvement is rare. A 67-year-old asymptomatic man was referred for endoscopic ultrasound (EUS) to evaluate a gastric lesion and an incidental liver mass. EUS revealed a heterogeneous liver mass that was sampled. Pathology revealed necrotic granulomatous inflammation and positive acid-fast bacilli stain with M. fortuitum deoxyribonucleic acid. Levofloxacin plus trimethoprim and sulfamethoxazole for 3 months were used for complete resolution of liver lesion. Isolated nontuberculous liver involvement is uncommon. We report the first case of a liver mass caused by M. fortuitum diagnosed by EUS-fine needle aspiration.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference9 articles.

1. Biofilm formation by the rapidly growing mycobacterial species Mycobacterium fortuitum;Hall-Stoodley;FEMS Microbiol Lett,1998

2. Endoscopic approach to subepithelial lesions;Menon;Therap Adv Gastroenterol.,2014

3. CT-guided biopsy of small liver lesions: Visibility, artifacts, and corresponding diagnostic accuracy;Stattaus;Cardiovasc Intervent Radiol.,2007

4. Liver biopsy for histological assessment: The case against;Sanai;Saudi J Gastroenterol.,2010

5. Subepithelial mass lesions in the upper gastrointestinal tract;Humphris;J Gastroenterol Hepatol.,2008