{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:25Z","timestamp":1756339525535,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T00:00:00Z","timestamp":1614643200000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,27]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>A 69-year-old man renal transplant recipient for 4 years, presented with 4-day history of cough and dyspnoea. He was diagnosed with community-acquired pneumonia and treated accordingly. He deteriorated requiring intensive care unit admission and intubation. Mycobacterial culture from bronchoalveolar lavage grew colonies within 7\u2009days of incubation while <jats:italic>Mycobacterium tuberculosis<\/jats:italic> PCR was negative. The antibiotic regimen was adjusted to cover for rapidly growing mycobacteria with imipenem, amikacin and clarithromycin. The final culture reported <jats:italic>Mycobacterium cosmeticum<\/jats:italic>. He improved on the antibiotic regimen given which the organism turned to be sensitive to. We reported the second case with <jats:italic>M. cosmeticum<\/jats:italic> that fulfilled the diagnostic criteria for non-tuberculous mycobacterial lung infection. Improvement of patient\u2019s lung infection on appropriate antibiotics points to a causal relationship.<\/jats:p>","DOI":"10.1136\/bcr-2020-234800","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T10:55:29Z","timestamp":1614682529000},"page":"e234800","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Pneumonia due to <i>Mycobacterium cosmeticum<\/i> in a renal transplant recipient"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2193-8618","authenticated-orcid":false,"given":"Ahmed","family":"Aljishi","sequence":"first","affiliation":[{"name":"Department of Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwan Jabr","family":"Alwazzeh","sequence":"additional","affiliation":[{"name":"Department of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al Khobar, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar","family":"Kristjansson","sequence":"additional","affiliation":[{"name":"Department of Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,3,2]]},"reference":[{"key":"2025082708385308000_14.3.e234800.1","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1097\/TP.0000000000001123","article-title":"Epidemiology and outcomes of nontuberculous mycobacterial infections in solid organ transplant recipients at a midwestern center","volume":"100","author":"George","year":"2016","journal-title":"Transplantation"},{"key":"2025082708385308000_14.3.e234800.2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/tid.12170","article-title":"Risk factors for nontuberculous mycobacterial infections in solid organ transplant recipients: a case-control study","volume":"16","author":"Longworth","year":"2014","journal-title":"Transpl Infect Dis"},{"key":"2025082708385308000_14.3.e234800.3","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.cmi.2014.07.001","article-title":"Non-tuberculous mycobacterial infections after solid organ transplantation: a survival analysis","volume":"21","author":"Longworth","year":"2015","journal-title":"Clin Microbiol Infect"},{"key":"2025082708385308000_14.3.e234800.4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-62"},{"key":"2025082708385308000_14.3.e234800.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)34193-1"},{"key":"2025082708385308000_14.3.e234800.6","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200604-571ST"},{"key":"2025082708385308000_14.3.e234800.7","doi-asserted-by":"publisher","DOI":"10.1086\/420746"},{"key":"2025082708385308000_14.3.e234800.8","doi-asserted-by":"publisher","DOI":"10.1099\/ijs.0.63238-0"},{"key":"2025082708385308000_14.3.e234800.9","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2011.00104"},{"key":"2025082708385308000_14.3.e234800.10","first-page":"531","article-title":"Occurrence of potentially pathogenic nontuberculous mycobacteria in Mexican house hold potable water: a pilot study","volume":"6","author":"Perez-Martinez","year":"2013","journal-title":"BMCRes"},{"key":"2025082708385308000_14.3.e234800.11","doi-asserted-by":"publisher","DOI":"10.1157\/13089664"},{"key":"2025082708385308000_14.3.e234800.12","first-page":"391","article-title":"Disfiguring scarring following mesotherapy-associated Mycobacterium cosmeticum infection","volume":"8","author":"Beer","year":"2009","journal-title":"J Drugs Dermatol"},{"key":"2025082708385308000_14.3.e234800.13","doi-asserted-by":"publisher","DOI":"10.3201\/eid1308.061061"},{"key":"2025082708385308000_14.3.e234800.14","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.21804"},{"key":"2025082708385308000_14.3.e234800.15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.04.2009.1733"},{"key":"2025082708385308000_14.3.e234800.16","first-page":"1","article-title":"Multicentric Castleman\u2019s disease with Mycobacterium cosmeticum infection","volume":"3","author":"Anand","year":"2017","journal-title":"Arch Surg Oncol"},{"key":"2025082708385308000_14.3.e234800.17","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-213452"},{"key":"2025082708385308000_14.3.e234800.18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0005288"},{"key":"2025082708385308000_14.3.e234800.19","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.01028-14"},{"key":"2025082708385308000_14.3.e234800.20","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00043-09"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-234800","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:38:57Z","timestamp":1756309137000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-234800"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":20,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,2]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-234800"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-234800","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}