Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3995-4002
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3995
Mycobacterium gordoniasis of the cervical lymph nodes: A case report
Ling Peng, Rong Ma, Yong Li, Jie Cheng
Ling Peng, Rong Ma, Yong Li, Jie Cheng, Department of Tuberculosis, Anhui Provincial Chest Hospital, Hefei 230022, Anhui Province, China
Author contributions: Cheng J designed the study, Ma R performed the data collection and analyzed the data, and Peng L wrote the manuscript. All authors reviewed the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and all accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Cheng, BMed, Associate Chief Physician, Department of Tuberculosis, Anhui Provincial Chest Hospital, No. 397 Jixi Road, Shushan District, Hefei 230022, Anhui Province, China. 18756663465@163.com
Received: March 7, 2024
Revised: April 26, 2024
Accepted: May 22, 2024
Published online: July 6, 2024
Processing time: 114 Days and 1.9 Hours
Abstract
BACKGROUND

Owing to the advancement in bacterial identification techniques, the detection rate of non-tuberculous mycobacterium (NTM) has been on the rise. Different from Mycobacterium tuberculosis, the clinical symptoms of NTM are not easily detected, and the clinical efficacy and prognosis are somewhat heterogeneous. To report a case of Mycobacterium gordoniasis of cervical lymph node diagnosed in Anhui Chest Hospital in July 2022.

CASE SUMMARY

Upon examination, the patient who weighed 67.5 kg, was human immunodeficiency virus negative, healthy, without hypertension, diabetes, heart disease and other basic diseases microscopic analysis revealed granulomatous inflammation with coagulation necrosis in the lymphocyte, and tuberculosis was not ruled out. Plain computed tomography scans of the neck and chest indicated the presence of a single grayish-yellow and grayish-brown tissue, the dimensions of which was top of form 10.5 cm × 3.0 cm × 1.5 cm. After pathological consultation in our hospital, the diagnosis was confirmed as NTM infection.

CONCLUSION

This case report and the clinical epidemiological research on improving NTM have important guiding significance for improving decision-making in clinical treatments.

Keywords: Mycobacterium gordoniasis; Cervical lymph nodes; Literature analysis; Clinical treatments; Case Report

Core Tip: This case highlights the growing challenge of diagnosing and managing non-tuberculous mycobacterium (NTM) infections, with an emphasis on Mycobacterium gordoniasis in the cervical lymph node. This underscores the significance of employing sophisticated bacterial identification methods to differentiate NTM from tuberculosis, considering their nuanced clinical presentations and implications for treatment approaches. The report serves as a pivotal reminder of the diverse clinical outcomes linked to NTM infections, advocating for increased vigilance and personalized therapeutic interventions in analogous scenarios.