Mycobacterium chelonae Cutaneous Infection: A Challenge for an Internist

  • Margarida Gaudencio Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • André Carvalho Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • Maria Inês Bertão Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • Ivo Barreiro Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • Maria Isabel Bessa Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • Abílio Gonçalves Department of Internal Medicine, Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal

Keywords

Mycobacterium chelonae, cutaneous infection, immunosuppression, atypical specimens

Abstract

Cutaneous infections caused by the Mycobacterium chelonae complex show a heterogeneous clinical presentation, which varies according to the patient’s immune status. Most standard antimycobacterials have no effect against these species. Clarithromycin alone was shown to provide adequate treatment, although resistance has been reported. Consequently, the literature supports multi-drug therapy to combat resistant strains. Here, we describe the case of a 59-year-old man under systemic immunosuppressive therapy who developed cutaneous lesions whose evolution was highly suggestive of atypical infection.

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  • Published: 2021-11-15

    Issue: 2021: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    1.
    Gaudencio M, Carvalho A, Bertão MI, Barreiro I, Bessa MI, Gonçalves A. Mycobacterium chelonae Cutaneous Infection: A Challenge for an Internist. EJCRIM 2021;2 doi:10.12890/2021_003013.