<p><i>Mycobacterium genavense</i> is a&#xa0;rare cause of non-tuberculous mycobacterial disease, typically occurring in immunocompromised hosts. The case of a&#xa0;49-year-old immunocompetent man with respiratory symptoms is presented. Imaging revealed a&#xa0;hilar mass with mediastinal lymphadenopathy, initially suggesting malignancy. Molecular diagnostics identified <i>M.&#xa0;genavense</i> as the causative pathogen. A&#xa0;15-month regimen of rifampicin, azithromycin, and ethambutol led to complete clinical and radiological remission.</p>

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Schwere pulmonale Mycobacterium-genavense-Infektion bei einem immunkompetenten Erwachsenen

  • Jonas Früh,
  • Johanna Bolay,
  • Raphaela Kalus,
  • Loraine Früh,
  • Simone Reu-Hofer,
  • Andreas Müller

摘要

Mycobacterium genavense is a rare cause of non-tuberculous mycobacterial disease, typically occurring in immunocompromised hosts. The case of a 49-year-old immunocompetent man with respiratory symptoms is presented. Imaging revealed a hilar mass with mediastinal lymphadenopathy, initially suggesting malignancy. Molecular diagnostics identified M. genavense as the causative pathogen. A 15-month regimen of rifampicin, azithromycin, and ethambutol led to complete clinical and radiological remission.