Swetter S M, Kindel S E, Smoller B R
Department of Dermatology, Stanford University Medical Center, CA 94305.
J Am Acad Dermatol. 1993 Feb;28(2 Pt 2):352-5. doi: 10.1016/0190-9622(93)70053-v.
A 30-year-old immunocompromised man with known pulmonary Mycobacterium chelonae colonization developed a systemic infection with cutaneous manifestations. The eruption consisted of multiple, nontender, subcutaneous nodules on the extremities. A diagnosis of disseminated M. chelonae was made on the basis of recovery of M. chelonae subspecies abscessus from blood and bronchoalveolar lavage fluid and histologic evidence of acid-fast bacilli in a skin biopsy specimen. We believe this is the first reported case of disseminated M. chelonae infection in an immunocompromised host in whom a primary source of the infection was identified.
一名30岁的免疫功能低下男子，已知肺部有龟分枝杆菌定植，发生了伴有皮肤表现的全身感染。皮疹表现为四肢出现多个无压痛的皮下结节。根据从血液和支气管肺泡灌洗液中分离出脓肿分枝杆菌亚种以及皮肤活检标本中抗酸杆菌的组织学证据，诊断为播散性龟分枝杆菌感染。我们认为这是首例在免疫功能低下宿主中报告的播散性龟分枝杆菌感染病例，且该病例确定了感染的主要来源。
