Disseminated Cutaneous Infection of Mycobacterium colombiense in a Patient with Myelodysplastic Syndrome

被引：11
作者：
Inagaki, Yuichiro [1 ]
Ito, Tatsuya [1 ,2 ]
Kato, Tomonori [1 ]
Ono, Yoshitaka [1 ]
Sawa, Masashi [1 ]
机构：
[1] Anjo Kosei Hosp, Dept Hematol & Oncol, Anjo, Japan
[2] Narita Hosp, Dept Internal Med, Narita, Chiba, Japan
来源：
INTERNAL MEDICINE | 2018年 / 57卷 / 03期
关键词：
broad-range polymerase chain reaction; immunocompromised host; Mycobacterium avium complex; nontuberculous mycobacteria; AVIUM COMPLEX; LYMPHADENOPATHY; IDENTIFICATION; DISEASES;
D O I：
10.2169/internalmedicine.7890-16
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Mycobacterium colombiense (M. colombiense) is a member of the Mycobacterium avium complex (MAC). To our knowledge, this is the third case report of an M. colombiense infection. An 80-year-old man, immunocompromised by myelodysplastic syndrome (MDS), developed a skin rash with exfoliation and eruption on his face and scalp. Mycobacteria were detected in pus samples. Broad-range polymerase chain reaction (PCR) revealed the mycobacteria to be M. colombiense. The lesions resolved after daily administration of rifampicin, ethambutol, and clarithromycin. In conclusion, broad-range PCR identified this rare mycobacterium, allowing for the administration of appropriate combination antibiotic therapy.
引用
收藏
页码：423 / 427
页数：5
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