Mycobacterium simiae Infection of the Parotid Gland in an Immunocompetent Child.

Mycobacterium simiae is a multidrug-resistant, slowgrowing, nontuberculous mycobacterium (NTM) that has been rarely reported as a cause of pulmonary infections and disseminated disease in immunocompromised hosts, especially in patients with advanced AIDS [1]. Nontuberculous mycobacterium infections caused by M simiae have increasingly been reported as a cause for cervical lymphadenitis in immunocompetent children [2, 3]; however, infection of the parotid gland secondary to M simiae has not been reported in the literature. We present the diagnosis and management of a child with suppurative parotitis caused by M simiae with excision and adjunctive antimicrobial therapy.