Disseminated cutaneous atypical mycobacteriosis by M. chelonae after sclerotherapy of varicose veins in a immunocompetent patient: a case report

Anais Brasileiros de Dermatologia

Nathalia Dias Negrão Murback¹  Minoru German Higa Júnior¹  Maurício Antônio Pompílio¹  Eunice Stella Jardim Cury¹  Gunter Hans Filho¹  Luiz Carlos Takita¹ 

关键词: Bloodless medical and surgical procedures;    Diagnosis;    Diagnostic services;    Elective surgical procedures;    History;    Microbiology;    Mycobacterium infections;    nontuberculous;    Epidemiology;    Therapeutics;   

DOI  :  10.1590/abd1806-4841.20153504

来源: SciELO

【 摘 要 】

Abstract Atypical mycobacteria are saprophytic organisms not transmitted from person to person, which affect mainly immunosuppressed but also immunocompetent individuals. We present a case of atypical mycobacteriosis after a vascular procedure, with widespread cutaneous lesions associated with polyarthralgia. Mycobacterium chelonae was identified by the polymerase chain reaction (PCR) method. The patient showed improvement after treatment with three antibiotics. Mycobacterium chelonae causes skin lesions after invasive procedures. The clinical form depends on the immune state of the host and on the entry points. The diagnosis is based essentially on culture and the mycobacteria is identified by PCR. We highlight the importance of investigating atypical mycobacteriosis when faced with granulomatous lesions associated with a history of invasive procedures.

【 授权许可】

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