Disseminated infection successfully treated with a clofazimine-containing regimen and long-term follow-up after discontinuing treatment
Document Type
Article
Publication Date
5-2024
Journal Title
IDCases
Abstract
is a slow-growing member of the complex. It can contaminate tap water and has been detected in water tanks of heater-cooler devices used during open-heart surgery. Herein we report a case of a 67-year-old- male with disseminated infection who presented with fevers, significant weight loss and was found to have bacteremia with prosthetic valve endocarditis, chorioretinitis, bone marrow and splenic granulomas two years after an open-heart surgery. He developed multiple drug adverse events over the course of treatment but was successfully treated using a clofazimine containing regimen along with aortic valve replacement. He has remained symptom-free with no signs of recurrence three years after completion of antimicrobials. Clofazimine is an effective alternative that can be used as part of a multi-drug regimen in infection when there is resistance to first-line drugs or when adverse drug reactions occur.
ISSN
2214-2509
First Page
e01991
Recommended Citation
Kobayashi T, Ford B, Diekema DJ, Sekar P. Disseminated Mycobacterium chimaera infection successfully treated with a clofazimine-containing regimen and long-term follow-up after discontinuing treatment. IDCases. 2024;36:e01991. Published 2024 May 22. doi:10.1016/j.idcr.2024.e01991