Siddique Nikhut, Roy Moni, Ahmad Sharjeel
Department of Internal Medicine, University of Illinois College of Medicine- Peoria, United States.
Department of Internal Medicine, University of Illinois College of Medicine- Peoria, OSF Saint Francis Medical Center, Peoria, IL, United States.
IDCases. 2020 May 28;21:e00847. doi: 10.1016/j.idcr.2020.e00847. eCollection 2020.
is a non-tuberculous rapidly growing mycobacteria (RGM). We present a case of a 30 year old female who developed a right breast subareolar abscess due to fortuitum four months after a nipple piercing. She failed to respond to an initial three-week course of monotherapy with trimethoprim-sulfamethoxazole despite aspiration of abscess and removal of offending nipple piercing. Our patient was successfully treated with dual antimicrobial therapy. This report also includes a brief literature review of prior reported cases caused by this organism. It is important to keep and other RGM species on the differential if there is failure of resolution of abscess and infection with routine antimicrobial therapy.
是一种非结核性快速生长分枝杆菌（RGM）。我们报告一例30岁女性病例，该患者在乳头穿刺四个月后因偶然分枝杆菌导致右乳晕下脓肿。尽管对脓肿进行了抽吸并移除了有问题的乳头穿刺物，但她对最初为期三周的甲氧苄啶 - 磺胺甲恶唑单药治疗没有反应。我们的患者通过双重抗菌治疗成功治愈。本报告还包括对先前报道的由该病原体引起病例的简要文献综述。如果常规抗菌治疗后脓肿和感染未能消退，在鉴别诊断时将偶然分枝杆菌和其他RGM物种考虑在内很重要。
