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Volume 31, Number 6—June 2025

Dispatch

Mycoplasma arginini Cellulitis, Tenosynovitis, and Arthritis in Kidney Transplant Recipient, Slovenia, 2024

Tjaša Vivoda, Tereza Rojko, Barbara Kokošar Ulčar, Katja Strašek Smrdel, Andraž Celar Šturm, Darja Keše, Tina Triglav, and Željka Večerić HalerComments to Author 
Author affiliation: University Medical Center Ljubljana, Ljubljana, Slovenia (T. Vivoda, T. Rojko, B. Kokošar Ulčar, Ž. Večerić Haler); Faculty of Medicine, University of Ljubljana, Ljubljana (T. Vivoda, T. Rojko, K. Strašek Smrdel, D. Keše, T. Triglav, Ž. Večerić Haler); Institute of Microbiology and Immunology, Ljubljana (K. Strašek Smrdel, A. Celar Šturm, D. Keše, T. Triglav)

Main Article

Table

Laboratory values for Mycoplasma arginini cellulitis, tenosynovitis, and arthritis in kidney transplant recipient, Slovenia, 2024*

Variable Sample collection
Reference range
At clinic† At admission At discharge After treatment‡
White blood count, cells × 109/L 5.5 4.2 5.5 6.8 4.0–10.0
C-reactive protein, mg/L 5 40 13 <5 <5
Procalcitonin, µg/L 0.6 0.10 0.05 NA <0.24
IgG, g/L NA 2.7 14.7§ 6.1 7.67–15.90
IgA, g/L NA <0.24 <0.24 NA 0.61–3.56
IgM, g/L NA <0.17 0.24 NA 0.37–2.86
β-d-glucan, pg/mL 189.3 207.2 170.2 192 <59.9
GM antigen, ELISA index 0.06 0.12 NA NA <0.5
Cryptococcal antigen, ELISA titer 1:0.03 1:0.04 NA NA <1:1
Blood cultures¶ NA Negative NA NA Negative

*IgG values were adjusted on the basis of presence of known IgG/κ spike. GM, galactomannan; NA, not available. †The patient’s clinic at symptom onset. ‡Treatment included a completed 6-week course of doxycycline. §Higher IgG concentration after administration of intravenous immunoglobulin. ¶Bactec FX Blood Culture System (Becton, Dickinson and Company, https://www.bd.com).

Main Article

Page created: April 14, 2025
Page updated: May 27, 2025
Page reviewed: May 27, 2025
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