Mycoplasma hominis infection in renal transplantation

Pastural, Myriam; Audard, Vincent; Bralet, Marie‐Pierre; Rémy, Philippe; Salomon, Laurent; Tankovic, Jacques; Buisson, Corinne; Lang, Philippe

doi:10.1093/ndt/17.3.495

Cited by 30 publications

(29 citation statements)

References 10 publications

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“…Specifically, the vast majority of PTLD cases are EBV positive 38,40,41 and often appear to closely resemble in vitro immortalization of blood B lymphocytes. Increased infection of certain mycoplasmas in the immune-suppressed transplantation patients, as already reported by some studies, 42,43 by implication, might play an important promoting role in development of lymphoproliferative disorders in these patients.…”

Section: Discussionmentioning

confidence: 63%

Mycoplasma fermentans infection promotes immortalization of human peripheral blood mononuclear cells in culture

Zhang¹,

Tsai

et al. 2004

Blood

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Section: Discussionmentioning

confidence: 63%

Mycoplasma fermentans infection promotes immortalization of human peripheral blood mononuclear cells in culture

Zhang¹,

Tsai

et al. 2004

Blood

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“…There are numerous case reports of Group A Streptococcus (GAS) and Streptococcus pneumoniae causing primary peritonitis in young previously healthy individuals [1–3]. Primary peritonitis with Mycoplasma hominis has been described in the renal transplant population [4–6]; however, there is no known reported case of primary peritonitis caused by Mycoplasma hominis in a healthy nonimmunocompromised adult. To our knowledge, we present the first case of Mycoplasma hominis peritonitis in an otherwise healthy young female.…”

Section: Introductionmentioning

confidence: 99%

Primary Peritonitis: An Index Case of Mycoplasma hominis Infection in a Healthy Female

Drexel

Tseng

2018

Case Reports in Surgery

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Introduction Primary peritonitis in healthy immunocompetent individuals is rare. Several case reports of Streptococcus species causing peritonitis have been described. Here, we present the first case of Mycoplasma hominis as the cause of primary peritonitis in a healthy woman. Case Report A 42-year-old female with history of uterine fibroids was admitted with abdominal pain and intraperitoneal fluid of unknown etiology. She was initially managed nonoperatively and empirically treated with broad spectrum antibiotics. Blood and urine cultures were unrevealing. Increasing abdominal pain and peritoneal fluid prompted diagnostic laparoscopy which revealed a dense fibrinous exudate covering the entire peritoneal cavity. Peritoneal fluid and biopsies were sent for cytology and culture. The peritoneal fluid was eventually sent for 16 s ribosomal analysis, which discovered Mycoplasma hominis RNA. Her antibiotics were narrowed, and she eventually made a full recovery. Discussion M. hominis is a rare source of systemic infection but has been known to colonize the urogenital tract and cause localized infections. This is the first presentation of M. hominis causing primary peritonitis in a healthy immunocompetent female. Multidisciplinary management of these patients is critical to achieve a timely diagnosis. Surgical exploration is often unavoidable to rule out secondary peritonitis.

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“…Many cases of M. hominis wound infections after grafts have been reported. 9,10,11 The sources of these infections are rarely identified or are linked to the genitourinary tract or the respiratory tract of the recipient. Wilson et al reported a similar case of a M. hominis infection due to a prosthetic vascular graft on an non-immunosuppressed patient, 12 as in the case of our recipient.…”

Section: Investigation and Hypothesismentioning

confidence: 99%