Presentation
History
History findings of M gordonae infection may include fever (eg, >2 weeks).
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Physical
Physical examination findings of M gordonae infection in patients without HIV infection may include the following:
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Possible skin granuloma or nodule following injuries involving soil exposure (eg, gardeners)
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Keratitis of the cornea (associated with previous trauma)
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Lung infiltrates and/or nodules, small and thin-walled cavities in lungs
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Possible hepatic or peritoneal infiltration or infection
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Possible infection in urine
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Possible prosthetic aortic valve or ventriculoatrial shunt infection
Physical examination findings of M gordonae infection in patients with HIV infection may include the following:
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Respiratory specimens with repeatedly high colony counts
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Pulmonary infiltrates
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Adult respiratory distress syndrome
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Evidence of dissemination and disease (eg, cornea, peritoneal cavity, synovial fluid, urine)
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Blood sepsis or dissemination
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Causes
HIV infection with severe immunosuppression (< 50 CD4+ cells/µL) is a risk factor for M gordonae infection.
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Complications
Dissemination is a concern. Death is an unlikely outcome, except in patients who are severely immunocompromised, such as CD4+ cell counts in the single digits.
Monotherapy may induce resistance.
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