Abstract
An immunocompromised patient had positive blood cultures for Mycobacterium intracellulare and no identifiable organ seeding was started on treatment. One month later, the patient was clinically well with negative blood cultures but drug-induced myelotoxicity had developed. Ocular fundus examination at this time revealed bilateral choroidal granulomas which changed patient management.
Keywords:
Atypical mycobacteria; Eye; Fundus; Mycobacterium intracellulare; Screening.
MeSH terms
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Anti-Bacterial Agents / adverse effects
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Anti-Bacterial Agents / therapeutic use*
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Choroiditis / diagnosis*
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Choroiditis / diagnostic imaging
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Choroiditis / drug therapy
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Choroiditis / microbiology
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Eye Infections, Bacterial / diagnosis*
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Eye Infections, Bacterial / diagnostic imaging
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Eye Infections, Bacterial / drug therapy
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Eye Infections, Bacterial / microbiology
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Female
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Humans
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Immunocompromised Host*
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Middle Aged
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Mycobacterium avium Complex / isolation & purification*
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Mycobacterium avium-intracellulare Infection / diagnosis*
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Mycobacterium avium-intracellulare Infection / diagnostic imaging
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Mycobacterium avium-intracellulare Infection / drug therapy
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Mycobacterium avium-intracellulare Infection / microbiology
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Treatment Outcome