Department of Dermatology, Royal Infirmary of Edinburgh, Edinburgh, UK.
Clin Exp Dermatol. 2013 Mar;38(2):140-2. doi: 10.1111/j.1365-2230.2012.04421.x. Epub 2012 Jul 25.
We describe an outbreak of Mycobacterium chelonae infection in four young immunocompetent patients who were tattooed by the same artist. All had been previously tattooed without complication, but following the latest tattooing session, they all developed a very similar papular eruption confined to skin that had been newly coloured light grey. On histological examination of the eruption, granulomatous inflammation with microabscess formation was seen, in association with the tattoo pigment. Skin cultures grown under optimal conditions grew M. chelonae, sensitive to clarithromycin, from one patient. M. chelonae was also cultured from the contents and nozzle of an opened bottle of light-grey ink from the tattoo parlour frequented by the patients. Dermatologists should consider mycobacterial infection in patients who develop inflammatory changes within a new tattoo.
我们描述了四起分枝杆菌感染爆发在四个年轻的免疫功能正常的患者，他们都由同一位艺术家纹身。他们之前都没有纹身并发症，但在最近的纹身之后，他们都出现了一种非常相似的丘疹性皮疹，局限于新涂成浅灰色的皮肤。在皮疹的组织学检查中，观察到肉芽肿性炎症伴微脓肿形成，与纹身颜料有关。从一名患者中，在最佳条件下培养的皮肤培养物中生长出对克拉霉素敏感的分枝杆菌。分枝杆菌也从患者光顾的纹身店打开的浅灰色墨水瓶的内容物和喷嘴中培养出来。皮肤科医生应该考虑到在新纹身中出现炎症改变的患者的分枝杆菌感染。
