Okabe Taro, Sasahara Teppei, Suzuki Jun, Onishi Tsubasa, Komura Masayoshi, Hagiwara Shigehiro, Suzuki Hiromichi, Morisawa Yuji
1Division of Infectious Diseases, Jichi Medical University Hospital, Shimotsuke, Tochigi Japan.
2Department of Infection and Immunity, School of Medicine, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498 Japan.
Indian J Microbiol. 2018 Mar;58(1):28-32. doi: 10.1007/s12088-017-0692-y. Epub 2017 Nov 14.
, a rapidly growing mycobacterium, is a rare clinical pathogen. Furthermore, parotitis due to non-tuberculosis mycobacterium is very rare in adults. Herein, we report the first case of parotitis in an immunocompetent adult. A 40-year-old man presented with swelling in a left parotid lesion. He was diagnosed with parotitis. The culture from the parotid abscess grew . He was unsuccessfully treated with levofloxacin monotherapy. Trimethoprim-sulfamethoxazole was added, leading to some clinical response; however, the erythema persisted despite 14 months of antibiotic therapy. Subsequently, the skin lesion was surgically removed. The antibiotic treatment was ceased a week after surgery as the postoperative course was uneventful and the lesion had improved. No recurrence was noted at 7 months after surgery. Although extremely rare, can cause parotitis in immunocompetent adults, and may not be sufficiently treated with antibiotics alone.
作为一种快速生长的分枝杆菌，是一种罕见的临床病原体。此外，非结核分枝杆菌引起的腮腺炎在成人中非常罕见。在此，我们报告首例免疫功能正常的成人腮腺炎病例。一名40岁男性出现左侧腮腺病变肿胀。他被诊断为腮腺炎。腮腺脓肿培养出 。左氧氟沙星单药治疗效果不佳。加用甲氧苄啶-磺胺甲恶唑后有一定临床反应；然而，尽管进行了14个月的抗生素治疗，红斑仍持续存在。随后，手术切除皮肤病变。术后过程顺利，病变改善，术后一周停止抗生素治疗。术后7个月未发现复发。尽管极为罕见，但 可导致免疫功能正常的成人患腮腺炎，且单独使用抗生素可能无法充分治疗。
