Mycobacterium gordonae Infection Clinical Presentation

Updated: Sep 08, 2017
  • Author: Klaus-Dieter Lessnau, MD, FCCP; Chief Editor: Mark R Wallace, MD, FACP, FIDSA  more...
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Presentation

History

History findings of M gordonae infection may include fever (eg, >2 weeks).

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Physical

Physical examination findings of M gordonae infection in patients without HIV infection may include the following:

  • Possible skin granuloma or nodule following injuries involving soil exposure (eg, gardeners)
  • Keratitis of the cornea (associated with previous trauma)
  • Lung infiltrates and/or nodules, small and thin-walled cavities in lungs
  • Possible hepatic or peritoneal infiltration or infection
  • Possible infection in urine
  • Possible prosthetic aortic valve or ventriculoatrial shunt infection

Physical examination findings of M gordonae infection in patients with HIV infection may include the following:

  • Respiratory specimens with repeatedly high colony counts
  • Pulmonary infiltrates
  • Adult respiratory distress syndrome
  • Evidence of dissemination and disease (eg, cornea, peritoneal cavity, synovial fluid, urine)
  • Blood sepsis or dissemination
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Causes

HIV infection with severe immunosuppression (< 50 CD4+ cells/µL) is a risk factor for M gordonae infection.

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