Disseminated cutaneous atypical mycobacteriosis by M. chelonae after sclerotherapy of varicose veins in a immunocompetent patient: a case report
- Resource Type
- Authors
- Eunice Stella Jardim Cury; Nathalia Dias Negrão Murback; Luiz Carlos Takita; Mauricio Antonio Pompilio; Günter Hans Filho; Minoru German Higa Júnior
- Source
- Anais Brasileiros de Dermatologia
Anais Brasileiros de Dermatologia, Vol 90, Iss 3 suppl 1, Pp 138-142 (2015)
- Subject
- Pathology
medicine.medical_specialty
History
medicine.drug_class
Epidemiology
medicine.medical_treatment
Antibiotics
Mycobacterium chelonae
Mycobacterium Infections, Nontuberculous
Case Report
Dermatology
Elective surgical procedures
Therapeutics
Polymerase Chain Reaction
Microbiology
law.invention
Varicose Veins
law
Varicose veins
Sclerotherapy
Diagnosis
medicine
Humans
Bloodless medical and surgical procedures
Radionuclide Imaging
Polymerase chain reaction
biology
business.industry
Diagnostic services
Skin Diseases, Bacterial
Middle Aged
biology.organism_classification
Immune state
RL1-803
Female
medicine.symptom
Immunocompetence
business
After treatment
- Language
- ISSN
- 1806-4841
Atypical mycobacteria are saprophytic organisms not transmitted from person to person, which affect mainly immunosuppressed but also immunocompetent individuals. We present a case of atypical mycobacteriosis after a vascular procedure, with widespread cutaneous lesions associated with polyarthralgia. Mycobacterium chelonae was identified by the polymerase chain reaction (PCR) method. The patient showed improvement after treatment with three antibiotics. Mycobacterium chelonae causes skin lesions after invasive procedures. The clinical form depends on the immune state of the host and on the entry points. The diagnosis is based essentially on culture and the mycobacteria is identified by PCR. We highlight the importance of investigating atypical mycobacteriosis when faced with granulomatous lesions associated with a history of invasive procedures.