Masoumi Morteza, Sakhaee Fatemeh, Ghazanfari Jajin Morteza, Siadat Seyed Davar, Fateh Abolfazl
Department of Mycobacteriology and Pulmonary Research, Pasteur Institute of Iran, Tehran, Iran.
Microbiology Research Center (MRC), Pasteur Institute of Iran, Tehran, Iran.
IDCases. 2024 Sep 8;38:e02077. doi: 10.1016/j.idcr.2024.e02077. eCollection 2024.
Cutaneous infections caused by Mycobacterium chelonae can present with a variety of clinical symptoms, depending on the patient's immune status. Here, we report a case involving a 46-year-old woman with multiple sclerosis who developed a cutaneous infection caused by M. chelonae. The initial presentation included skin discoloration on her right wrist, which progressed to a granuloma. Following surgical intervention, the infection led to tissue atrophy and the formation of a deep cavity at the site. Upon identification of the causative pathogen, a treatment regimen consisting of clarithromycin and moxifloxacin was initiated and continued for seven months. The patient showed signs of recovery, with the swelling and deep cavity resolving; however, some redness at the site persists. The patient remains under treatment.
由龟分枝杆菌引起的皮肤感染可呈现多种临床症状，这取决于患者的免疫状态。在此，我们报告一例涉及一名46岁患有多发性硬化症的女性，她发生了由龟分枝杆菌引起的皮肤感染。最初的表现包括右手腕皮肤变色，随后发展为肉芽肿。手术干预后，感染导致组织萎缩并在该部位形成一个深腔。在确定病原体后，开始使用克拉霉素和莫西沙星组成的治疗方案，并持续了七个月。患者显示出恢复迹象，肿胀和深腔消退；然而，该部位仍有一些发红。患者仍在接受治疗。
