Infección por Mycobacterium scrofulaceum en un niño de las Islas Galápagos - Ecuador / Mycobacterium scrofulaceum infection in a pediatric patient from the Galapagos Islands - Ecuador

Resumen Mycobacterium scrofulaceum es una micobacteria atípica de crecimiento lento que tiene como reservorio el ambiente. De forma ocasional causa enfermedad en humanos. Se presenta el caso de un niño de 10 años de edad con fiebre de cuatro meses de evolución, adenopatías cervicales, torácicas, abdominales e inguinales bilaterales, exantema, dolor abdominal y vómitos; con evidencia concomitante de serología positiva para el VEB y cultivo de los ganglios inguinales izquierdos con crecimiento de M. scrofulaceum. Es la primera comunicación de una infección causada por esta micobacteria en Ecuador, y que particularmente se presentó con un patrón de resistencia inusual.

Mycobacterium scrofulaceum is a slow-growing atypical mycobacteria with a reservoir in the environmen, and occasionally it causes disease in humans. The case of a 10-year-old patient with fever of four months of evolution is presented. Symptoms include bilateral adenopathies of neck, thorax, abdomen and inguinal region, rash, abdominal pain and vomiting; in addition, a positive serology for EBV and a culture of the left inguinal ganglia with growth of M. scrofulaceum were evidenced. Thus, this is the first report of human infection caused by the aforementioned mycobacterium in Ecuador, which it was particularly manifested with an unusual pattern of resistance.

Protective response in guinea pigs exposed to Mycobacterium aviumintracellulare/M. scrofulaceum, BCG & south Indian isolates of M. tuberculosis.

The protective immunity resulting from exposure to nontuberculous mycobacteria (NTM), BCG and virulent mycobacteria in different sequences was studied in the guinea pig model employing strains prevalent in the south Indian BCG trial area and time kinetics to observe the immuno-modulation. The findings suggest that during the early course of challenge infection in guinea pigs there was no interference with the immunity due to BCG, by prior exposure to NTM. In the animals sensitised with M. avium intracellulare before immunisation, the challenge infection was localised and confined to the site of inoculation, and only a few organisms reached the spleen. However, at the later stages of the infection, as seen by the spleen viable counts at 12 wk, it appeared that the barrier at the localised site of infection may not be intact in the animals with prior exposure to NTM, and a few organisms disseminate to the spleen.