Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report
Nontuberculous mycobacteria (NTMs) are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/607519 |
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| author | Amresh Kumar Singh Rungmei S. K. Marak Anand Kumar Maurya Manaswini Das Vijaya Lakshmi Nag Tapan N. Dhole |
| author_facet | Amresh Kumar Singh Rungmei S. K. Marak Anand Kumar Maurya Manaswini Das Vijaya Lakshmi Nag Tapan N. Dhole |
| author_sort | Amresh Kumar Singh |
| collection | DOAJ |
| description | Nontuberculous mycobacteria (NTMs) are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior abdominal wall (over a previous appendectomy scar) for the past 2 years. Microscopy and culture of the pus discharge were done to isolate and identify the etiological agent. Finally, GenoType Mycobacterium CM/AS assay proved it to be a mixed infection caused by Mycobacterium szulgai and M. intermedium. The patient was advised a combination of rifampicin 600 mg once daily, ethambutol 600 mg once daily, and clarithromycin 500 mg twice daily to be taken along with periodic follow-up based upon clinical response as well as microbiological response. We emphasize that infections by NTM must be considered in the etiology of nonhealing wounds or sinuses, especially at postsurgical sites. |
| format | Article |
| id | doaj-art-607972fce73248faba52113215cc23eb |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-607972fce73248faba52113215cc23eb2025-02-03T01:31:23ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712015-01-01201510.1155/2015/607519607519Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case ReportAmresh Kumar Singh0Rungmei S. K. Marak1Anand Kumar Maurya2Manaswini Das3Vijaya Lakshmi Nag4Tapan N. Dhole5Department of Microbiology, BRD Medical College, Gorakhpur, Uttar Pradesh 273013, IndiaDepartment of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur 342005, IndiaDepartment of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, IndiaDepartment of Microbiology, All India Institute of Medical Sciences, Jodhpur 342005, IndiaDepartment of Microbiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226014, IndiaNontuberculous mycobacteria (NTMs) are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior abdominal wall (over a previous appendectomy scar) for the past 2 years. Microscopy and culture of the pus discharge were done to isolate and identify the etiological agent. Finally, GenoType Mycobacterium CM/AS assay proved it to be a mixed infection caused by Mycobacterium szulgai and M. intermedium. The patient was advised a combination of rifampicin 600 mg once daily, ethambutol 600 mg once daily, and clarithromycin 500 mg twice daily to be taken along with periodic follow-up based upon clinical response as well as microbiological response. We emphasize that infections by NTM must be considered in the etiology of nonhealing wounds or sinuses, especially at postsurgical sites.http://dx.doi.org/10.1155/2015/607519 |
| spellingShingle | Amresh Kumar Singh Rungmei S. K. Marak Anand Kumar Maurya Manaswini Das Vijaya Lakshmi Nag Tapan N. Dhole Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report Case Reports in Dermatological Medicine |
| title | Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report |
| title_full | Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report |
| title_fullStr | Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report |
| title_full_unstemmed | Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report |
| title_short | Mixed Cutaneous Infection Caused by Mycobacterium szulgai and Mycobacterium intermedium in a Healthy Adult Female: A Rare Case Report |
| title_sort | mixed cutaneous infection caused by mycobacterium szulgai and mycobacterium intermedium in a healthy adult female a rare case report |
| url | http://dx.doi.org/10.1155/2015/607519 |
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