[Multiple infectious XXXX of Mycobacterium genavense in an immunocompromised @entity1 ].

@entity1 @entity1269 @entity4 @entity1504 @entity281 @entity2026 @entity465 @entity4653
Nontuberculous mycobacteria rarely infect the central nervous system. Recently, Mycobacterium genavense, nontuberculous mycobacterium (NTM), has been identified as a significant pathogen in @entity1 . In this report, we describe multiple @entity1504 caused by M. genavense in an immunocompromised host. A 50-year-old @entity1 presented with @entity4653 , @entity2026 , and @entity1269 . He had a @entity465 and a M. genavense @entity281 in the thoracic and abdominal lymph nodes. Magnetic resonance imaging revealed multiple intracranial masses in the subcortical regions with extensive perifocal @entity4 . Laboratory investigations and cultures of cerebrospinal fluid provided no evidence of disseminated @entity281 . We obtained a biopsy sample via a small craniotomy using neuronavigation, and NTM @entity281 was confirmed on analysis of the specimen. He was treated with antimycobacterial agents, and the clinical symptoms and radiological findings improved. Although a surgical procedure bears the potential risk of @entity281 , especially in an immunocompromised @entity1 , a brain biopsy was necessary for definitive diagnosis in this case and it aided in the administration of appropriate treatment.
