Jagadeesan Soumya, Anilkumar V, Panicker Vinitha Varghese, Anjaneyan Gopikrishnan, Thomas Jacob
Department of Dermatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Department of Microbiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Indian J Dermatol Venereol Leprol. 2018 Jan-Feb;84(1):45-48. doi: 10.4103/ijdvl.IJDVL_711_16.
Mycobacterium chelonae is a rapidly growing non-tuberculous mycobacterium. The skin and soft tissue infections due to this organism are steadily on the rise and need to be delineated specifically as most of these are not responsive to routine antituberculosis treatment. Here, we report 3 different presentations caused by Mycobacterium chelonae in traumatic and surgical wounds. Mycobacterium chelonae can complicate surgical or traumatic wounds.This infection may also present as injection site abscesses. Diabetics on insulin injections are especially at risk. A high index of suspicion is necessary in long standing culture negative lesions for clinching the diagnosis. PCR can be helpful in confirming the diagnosis.
龟分枝杆菌是一种快速生长的非结核分枝杆菌。由该菌引起的皮肤和软组织感染呈稳步上升趋势，由于其中大多数对常规抗结核治疗无反应，因此需要进行明确诊断。在此，我们报告了龟分枝杆菌在创伤和手术伤口中引起的3种不同表现。龟分枝杆菌可使手术或创伤伤口复杂化。这种感染也可能表现为注射部位脓肿。接受胰岛素注射的糖尿病患者尤其危险。对于长期培养阴性的病变，高度怀疑对于确诊至关重要。聚合酶链反应（PCR）有助于确诊。
