{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T10:38:33Z","timestamp":1648982313211},"reference-count":13,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2012,1,1]],"date-time":"2012-01-01T00:00:00Z","timestamp":1325376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>We encountered a patient with a history of intravenous drug use presenting with fever, malaise and nausea who was found to have cavitary lung lesions. Unexpectedly, gram positive rods grew out on day five on multiple blood cultures, which were later identified as<jats:italic>Mycobacterium fortuitum<\/jats:italic>. The patient underwent transesophageal echocardiogram, which showed aortic and tricuspid valve vegetations. Liver biopsy demonstrated granulomatous hepatitis. Interestingly, serum alkaline phosphatase level fell with antibiotic treatment.<jats:italic>Mycobacterium fortuitum<\/jats:italic>is ubiquitous worldwide, being found in tap water, and soil.<jats:italic>M. fortuitum<\/jats:italic>is usually considered as a contaminant. Disseminated infection caused by this bacterium in an immunocompetent host is extremely rare. Most of the disseminated infections have been reported in immune-deficient patients. In immunocompetent people,<jats:italic>M. fortuitum<\/jats:italic>causes human infection primarily by direct inoculation, including localized post-traumatic and surgical wound infections, and catheter-related sepsis. Our patient, an HIV-negative intravenous drug user, had<jats:italic>Mycobacterium fortuitum<\/jats:italic>sepsis associated with infective endocarditis, septic pulmonary emboli, and granulomatous hepatitis. Interestingly, the patient admitted using tap water occasionally for mixing heroin when her sterile water ran out, which we thought was the likely source of<jats:italic>M. fortuitum<\/jats:italic>.<\/jats:p>","DOI":"10.1155\/2012\/841834","type":"journal-article","created":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T21:07:40Z","timestamp":1345669660000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["A Mysterious Gram-Positive Rods"],"prefix":"10.1155","volume":"2012","author":[{"given":"Javzandulam","family":"Natsag","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaw","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasir","family":"Hamad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassel","family":"Alkhalil","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atiq","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, 3001 South Hanover Street, Baltimore, MD 21225, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.15.4.716-746.2002"},{"key":"2","year":"2009"},{"issue":"4","key":"3","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1093\/clinids\/5.4.657","volume":"5","year":"1983","journal-title":"Reviews of Infectious Diseases"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1046\/j.1198-743x.2001.00397.x"},{"issue":"6","key":"5","first-page":"836","volume":"15","year":"2006","journal-title":"Journal of Heart Valve Disease"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1086\/313695"},{"issue":"3","key":"7","doi-asserted-by":"crossref","first-page":"197","DOI":"10.3109\/00313029209063173","volume":"24","year":"1992","journal-title":"Pathology"},{"issue":"10","key":"8","first-page":"1022","volume":"47","year":"1999","journal-title":"Journal of Association of Physicians of India"},{"issue":"3","key":"9","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/00007611-198403000-00029","volume":"77","year":"1984","journal-title":"Southern Medical Journal"},{"issue":"3","key":"10","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1159\/000166935","volume":"5","year":"1985","journal-title":"American Journal of Nephrology"},{"issue":"4","key":"11","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1093\/clind\/16.4.463","volume":"16","year":"1993","journal-title":"Clinical Infectious Diseases"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1309\/HF2V-E8WV-PX4Q-CHQH"},{"key":"13","first-page":"188","volume":"13","year":"1993","journal-title":"Current Clinical Topics in Infectious Diseases"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/841834.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/841834.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2012\/841834.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T23:10:48Z","timestamp":1498000248000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criid\/2012\/841834\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012]]},"references-count":13,"alternative-id":["841834","841834"],"URL":"https:\/\/doi.org\/10.1155\/2012\/841834","relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012]]}}}