Mycobacterium abscessus bacteremia complicated by sepsis and septic shock in a patient with multiple comorbidities: a case report - Takeaways - MDSpire

Mycobacterium abscessus bacteremia complicated by sepsis and septic shock in a patient with multiple comorbidities: a case report

  • By

  • Yuanyuan Xu

  • Lusheng Wang

  • Huihui Li

  • Pingping Zhao

  • Kaixuan Zhang

  • Sudi Zhu

  • Mengyu Zhang

  • May 8, 2026

  • 0 min

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  • 1

    Mycobacterium abscessus can cause severe bacteremia leading to sepsis and septic shock, particularly in patients with significant comorbidities.

  • 2

    The case presented involves a 66-year-old male with multiple health issues, including poorly managed diabetes and a history of septic shock from M. abscessus.

  • 3

    Blood cultures confirmed M. abscessus, while sputum tests ruled out Mycobacterium tuberculosis, highlighting the need for accurate microbiological identification.

  • 4

    Despite antimicrobial therapy, the patient remained symptomatic and was discharged against medical advice after four days of hospitalization.

  • 5

    This case emphasizes the importance of early clinical suspicion and tailored treatment for patients with recurrent fever and inadequate response to standard therapies.

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