{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:48:25Z","timestamp":1777769305233,"version":"3.51.4"},"reference-count":23,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,4,9]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    We report a case of a patient in her 50s who first presented with cervical lymphadenopathy and later developed a slowly progressing facial lesion. After an initial lymph node biopsy, a diagnosis of cutaneous sarcoidosis was made and she was treated with immunosuppressive therapy. As the facial lesion continued to progress, a skin biopsy was performed which identified\n                    <jats:italic>Mycobacterium gordonae<\/jats:italic>\n                    . In retrospect, this organism had been grown on liquid culture from the first lymph node biopsy but was dismissed as a contaminant. 15 years after the first onset of symptoms, she was commenced on multidrug antibiotic therapy, resulting in a marked improvement. This case underscores the need to interpret isolation of non-tuberculous mycobacteria in the context of clinical findings and to reconsider established diagnoses when the condition of the patient worsens.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-270385","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:15:28Z","timestamp":1777479328000},"page":"e270385","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Facial lesion caused by\n                    <i>Mycobacterium gordonae<\/i>\n                    infection"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7414-0460","authenticated-orcid":false,"given":"Claudia","family":"Fowler-Williams","sequence":"first","affiliation":[{"name":"Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmine","family":"Buck","sequence":"additional","affiliation":[{"name":"Microbiology, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hem","family":"Rai","sequence":"additional","affiliation":[{"name":"Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Powell","sequence":"additional","affiliation":[{"name":"Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"2026042909151324000_19.4.e270385.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-5231(02)00014-X"},{"key":"2026042909151324000_19.4.e270385.2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00035-14"},{"key":"2026042909151324000_19.4.e270385.3","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200604-571ST"},{"key":"2026042909151324000_19.4.e270385.4","first-page":"576","article-title":"Nontuberculous mycobacteria from household plumbing of patients with nontuberculous mycobacteria disease","volume":"14","author":"Falkinham","year":"2008","journal-title":"Emerg Infect Dis"},{"key":"2026042909151324000_19.4.e270385.5","doi-asserted-by":"publisher","DOI":"10.1086\/313940"},{"key":"2026042909151324000_19.4.e270385.6","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.jfma.2020.06.029","article-title":"Mycobacterium gordonae infection in immunocompromised and immunocompetent hosts: A series of seven cases and literature review","volume":"120","author":"Chang","year":"2021","journal-title":"J Formos Med Assoc"},{"key":"2026042909151324000_19.4.e270385.7","doi-asserted-by":"crossref","first-page":"00274","DOI":"10.5435\/JAAOSGlobal-D-24-00274","article-title":"Nontuberculosis Mycobacterium Infections in Orthopaedic Surgery: Review of the Epidemiology, Pathogenesis, Diagnosis, and Treatment Guidelines","volume":"9","author":"Coda","year":"2025","journal-title":"JAAOS Glob Res Rev"},{"key":"2026042909151324000_19.4.e270385.8","doi-asserted-by":"crossref","DOI":"10.3389\/fimmu.2023.950095","article-title":"Re-evaluating serum angiotensin-converting enzyme in sarcoidosis","volume":"14","author":"Zheng","year":"2023","journal-title":"Front Immunol"},{"key":"2026042909151324000_19.4.e270385.9","unstructured":"Oxford Immunotec . 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