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Case Reports
. 2014 Apr;26(2):236-40.
doi: 10.5021/ad.2014.26.2.236. Epub 2014 Apr 30.

Soft Tissue Infection Caused by Rapid Growing Mycobacterium following Medical Procedures: Two Case Reports and Literature Review

Shih-Sen Lin  1 , Chin-Cheng Lee  2 , Tsrang-Neng Jang  3
Affiliations
Case Reports

Soft Tissue Infection Caused by Rapid Growing Mycobacterium following Medical Procedures: Two Case Reports and Literature Review

Shih-Sen Lin et al. Ann Dermatol. 2014 Apr.

Abstract

Non-tubecrulosis mycobacterium infections were increasingly reported either pulmonary or extrapulmonary in the past decades. In Taiwan, we noticed several reports about the soft tissue infections caused by rapid growing mycobacterium such as Mycobacterium abscessus, Mycobacterium chelonae, on newspaper, magazines, or the multimedia. Most of them occurred after a plastic surgery, and medical or non-medical procedures. Here, we reported two cases of these infections following medical procedures. We also discussed common features and the clinical course of the disease, the characteristics of the infected site, and the treatment strategy. The literatures were also reviewed, and the necessity of the treatment guidelines was discussed.

Keywords: Mycobacterium abscessus; Mycobacterium chelonae; Non-tuberculous mycobacteria; Rapid growing Mycobacterium; Soft tissue infections.

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Figures

Fig. 1
Fig. 1
Frontal view of patient's face showed multiple erythematous lesions (arrows) over bilateral cheeks.
Fig. 2
Fig. 2
Lateral view of patient's face showed sticky discharge (arrow) from the erythematous nodules.
Fig. 3
Fig. 3
Multiple erythematous nodules were found over the dorsal side of hand.
Fig. 4
Fig. 4
Photomicrograph shows histopathological findings from dorsum of hand of the patient. A granulomatous lesion with central abscess formation (arrow) and lymphohistiocytic and multinucleated giant cells infiltration were noted (H&E, ×100).
Fig. 5
Fig. 5
Photomicrograph shows histopathological findings from dorsum of hand of the patient. Lymphocytes, epithelioid histiocytic and multinucleated giant cells (arrow) infiltration were noted (H&E, ×400).
Fig. 6
Fig. 6
After 1 months of combined antibiotic therapy, the skin lesions of both hands showed almost complete resolution.
See this image and copyright information in PMC

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