PMID- 32226763 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2214-2509 (Print) IS - 2214-2509 (Electronic) IS - 2214-2509 (Linking) VI - 19 DP - 2020 TI - Intramedullary spinal cord lesions in an immunocompromised host due to Mycobacterium haemophilum. PG - e00674 LID - 10.1016/j.idcr.2019.e00674 [doi] LID - e00674 AB - Mycobacterium haemophilum is a slow growing acid-fast bacillus (AFB) in the nontuberculous mycobacteria (NTM) group. M. haemophilum typically causes cervicofacial lymphadenitis in children, cutaneous diseases, septic arthritis and osteomyelitis. However, it rarely causes isolated spinal cord disease. We report the first case, to our knowledge, of isolated intramedullary spinal lesions secondary to M. haemophilum. This case involved a patient with newly diagnosed human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS). He developed significant immune reconstitution inflammatory syndrome (IRIS) during his treatment. M. haemophilum should be on the differential for isolated intramedullary spinal lesions, particularly in immunocompromised patients. Given our patient's severe IRIS, patients with HIV and M. haemophilum infection should be closely monitored for IRIS and treated aggressively. In high risk circumstances such as M. haemophilum spinal disease in patients with HIV, clinicians should consider pre-emptive treatment for IRIS. CI - (c) 2019 The Authors. FAU - Kon, Shelley AU - Kon S AD - University of Colorado School of Medicine 12700 E. 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA. FAU - Franco-Paredes, Carlos AU - Franco-Paredes C AD - University of Colorado School of Medicine 12700 E. 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA. FAU - Hawkins, Kellie L AU - Hawkins KL AD - University of Colorado School of Medicine 12700 E. 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA. AD - Denver Public Health, Denver Public Health, 605 Bannock St. Pavilion H, Denver, CO 80204, USA. LA - eng PT - Case Reports DEP - 20191122 PL - Netherlands TA - IDCases JT - IDCases JID - 101634540 PMC - PMC7093745 OTO - NOTNLM OT - HIV OT - Immune reconstitution syndrome (IRIS) OT - Intramedullary spinal cord lesions OT - Mycobacterium haemophilum OT - Nontuberculous mycobacterium (NTM) COIS- None. EDAT- 2020/04/01 06:00 MHDA- 2020/04/01 06:01 PMCR- 2019/11/22 CRDT- 2020/04/01 06:00 PHST- 2019/10/25 00:00 [received] PHST- 2019/11/20 00:00 [revised] PHST- 2019/11/20 00:00 [accepted] PHST- 2020/04/01 06:00 [entrez] PHST- 2020/04/01 06:00 [pubmed] PHST- 2020/04/01 06:01 [medline] PHST- 2019/11/22 00:00 [pmc-release] AID - S2214-2509(19)30313-0 [pii] AID - e00674 [pii] AID - 10.1016/j.idcr.2019.e00674 [doi] PST - epublish SO - IDCases. 2019 Nov 22;19:e00674. doi: 10.1016/j.idcr.2019.e00674. eCollection 2020.