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VOLUME 6 , ISSUE 3 ( July-September, 2015 ) > List of Articles


Mycobacterium Fortuitum causing Isolated Parotid Abscess in an Immunocompetent Adult Female: A Case Report and Review of Literature

Sunita Chhapola, Inita Matta

Citation Information : Chhapola S, Matta I. Mycobacterium Fortuitum causing Isolated Parotid Abscess in an Immunocompetent Adult Female: A Case Report and Review of Literature. Int J Head Neck Surg 2015; 6 (3):125-127.

DOI: 10.5005/jp-journals-10001-1240

Published Online: 01-12-2016

Copyright Statement:  Copyright © 2015; The Author(s).



We report a rare case of isolated parotid abscess due to Mycobacterium fortuitum in an immunocompetent adult female, which to the best of our knowledge (on internet search) is the first case of its type.


Diagnosis was based on MTBDR CM assay (Hain's) culture, followed by a positive TBAg MPT64 culture for MOTT. The patient was treated with abscess drainage and antibiotics with good results. A parotidectomy was not required in our patient.


Mycobacterium fortuitum parotid abscess is very rare. A knowledge of the pathogenicity of this organism and careful culture methods seem to be the key of accurate diagnosis. Treatment protocols are still subject to research.

How to cite this article

Chhapola Shukla S, Matta I. Mycobacterium Fortuitum causing Isolated Parotid Abscess in an Immunocompetent Adult Female: A Case Report and Review of Literature. Int J Head Neck Surg 2015;6(3):125-127.

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  1. Mycobacterium fortuitum-induced persistent parotitis: successful therapy with clarithromycin and ciprofloxacin. Head Neck 2007;29:1061-1064.
  2. Atypical mycobacterial infection of the parotid gland. J Pediatr Surg 1990;25:483-486.
  3. Nontuberculous mycobacteria induced parotid lymphadenitis successfully limited with clarithromycin and rifabutin. Laryngoscope 2004;114:1435-1437.
  4. Nontuberculous mycobacterial infection of the head and neck in immunocompetent children: CT and MR findings. Am J Neuroradiol 1999;20:1829-1835.
  5. Nontuberculous mycobacterial cervical adenitis: a 10 years retrospective review. Laryngoscope 2003;113:149-154.
  6. Mycobacterium fortuitum um novo bacillo acido-resistente patogênico para o homem. Acta Medica (Rio de Janerio) 1938;1:297-301.
  7. Textbook of Microbiology. 8th ed. 2009;359-363.
  8. Cervical adenitis due to mycobacterium fortuitum in patients with acquired immunodeficiency syndrome. Am J Med Sci 1998;315:50-55.
  9. A prosthetic breast implant infected with mycobaterium fortuitum. Ann Plast Surg 2000;44:330-333.
  10. Mycobacterium fortuitum keratitis. Am J Ophthalmol 1998;105:661-669.
  11. Disseminated infection with rapidly growing mycobacteria. Clin Infect Dis 1993;16:463-471.
  12. Catheter related infections caused by the mycobacterium fortuitum complex: 15 cases and review. Rev Infect Dis 1991;13:1120-1125.
  13. Nontuberculous mycobacterial cervical adenitis. Clin Pediatr 1997;36:403-409.
  14. Lymphadenitis due to nontuberculous mycobacteria in children: presentation and response to therapy. Cli Infect Dis 1999;28:123-129.
  15. Management of atypical mycobacterial lymphadenitis in childhood: a review based on 380 cases. J Pediatr 1979;95:356-360.
  16. Acute bilateral parotitis caused by mycobacterium scrofulaceum: immune reconstitution disease in a patients with AIDS. Sex Trans Infect 2005;81:517-518.
  17. Bacteriologically confirmed nontuberculous mycobacterial lymphadenitis in south east England: a recent increase in the number of cases. Arch Dis Child 1995;72:516-517.
  18. Atypical mycobacterial adenitis presenting as a parotid abscess. Am J Otolaryngol 1995;16:428-432.
  19. The rapidly growing mycobacteria-mycobacterium fortuitum and mycobacterium chelonei. Infect Control 1985;6: 283-288.
  20. Nontuberculous mycobacterial adenitis in children: diagnostic and therapeutic management. Am J Otolaryngol 2003;24:79-84.
  21. Nontuberculous mycobacterial infections presenting as salivary gland masses in children: investigation and conservative management. J Laryngol Otol 1995;109:525-530.
  22. Mycobacteria other than mycobacterium tuberculosis: review of microbiologic and clinical aspects. Rev Infect Dis 1987;9:275-294.
  23. Cervicofacial mycobacterial infections presenting as major salivary gland disease. Laryngoscope 1983;93:1271-1275.
  24. Non tuberculous mycobacterial infections of the head and neck. Arch Otolaryngol Head Neck Surg 1994;120:873-876.
  25. Activities of four macrolides including clarithromycin against mycobacterium fortuitum, mycobacterium chelonae and M chelonae like organisms. Antimicrob Agents Chemother 1992;36:180-184.
  26. New macrolide antibiotics: usefulness in infections caused by mycobacteria other than mycobacterium tuberculosis. Ann Pharmacother 1994;28:1255-1263.
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