Mixed pulmonary infection with four isolates of nontuberculous mycobacteria: a case report of mycobacterium bacteremicum infection

A mixed pulmonary infection of Mycobacterium bacteremicum and three diferent isolates of nontuberculous mycobacteria (NTM) is an unusual clinical manifestation and have not yet been indicated.

In this case report, we reported four isolates of NTM using phenotypic and genotypic test of pulmonary sample in Tehran, Iran.

The patient was treated with ciprofoxacin, clarithromycin, and amikacin, along with Montelukast, for five months.

After treatment, the patient reported complete resolution of the signs and a weight gain of 5 kg; also, the CRP and ESR were normal. Nine months after the infection diagnosis, a new CT scan revealed further improvements.

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