Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease

Around 50 mycobacteria species cause human disease. Immunosuppressive states predispose to non-tuberculous mycobaterium infection, such as Mycobacterium chelonae: AFB, non-tuberculous, fast growth of low virulence and uncommon as a human pathogen. It may...

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Main Authors: Renan Lage, Danilo Guerreiro Zeolo Biccigo, Felipe Borba Calixto Santos, Erica Chimara, Elisangela Samartin Pegas Pereira, Adilson da Costa
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2015-02-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000100104&tlng=en
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author Renan Lage
Danilo Guerreiro Zeolo Biccigo
Felipe Borba Calixto Santos
Erica Chimara
Elisangela Samartin Pegas Pereira
Adilson da Costa
author_facet Renan Lage
Danilo Guerreiro Zeolo Biccigo
Felipe Borba Calixto Santos
Erica Chimara
Elisangela Samartin Pegas Pereira
Adilson da Costa
author_sort Renan Lage
collection DOAJ
description Around 50 mycobacteria species cause human disease. Immunosuppressive states predispose to non-tuberculous mycobaterium infection, such as Mycobacterium chelonae: AFB, non-tuberculous, fast growth of low virulence and uncommon as a human pathogen. It may compromise the skin and soft tissues, lungs, lymph nodes and there is also a disseminated presentation. The diagnosis involves AFB identification and culture on Agar and Lowenstein-Jensen medium base. A 41-year-old female with MCTD (LES predominance) is reported, presenting painless nodules in the right forearm. She denied local trauma. Immunosuppressed with prednisone and cyclophosphamide for 24 months. Lesion biopsy has demonstrated positive bacilloscopy (Ziehl-Neelsen stain) and M.chelonae in culture (Lowenstein-Jensen medium base), therefore clarithromycin treatment has been started (best therapy choice in the literature).
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spelling doaj.art-cfdfffbc56494e458e53150fb58374f42022-12-21T21:23:31ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962015-02-0190110410710.1590/abd1806-4841.20152276Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue diseaseRenan LageDanilo Guerreiro Zeolo BiccigoFelipe Borba Calixto SantosErica ChimaraElisangela Samartin Pegas PereiraAdilson da CostaAround 50 mycobacteria species cause human disease. Immunosuppressive states predispose to non-tuberculous mycobaterium infection, such as Mycobacterium chelonae: AFB, non-tuberculous, fast growth of low virulence and uncommon as a human pathogen. It may compromise the skin and soft tissues, lungs, lymph nodes and there is also a disseminated presentation. The diagnosis involves AFB identification and culture on Agar and Lowenstein-Jensen medium base. A 41-year-old female with MCTD (LES predominance) is reported, presenting painless nodules in the right forearm. She denied local trauma. Immunosuppressed with prednisone and cyclophosphamide for 24 months. Lesion biopsy has demonstrated positive bacilloscopy (Ziehl-Neelsen stain) and M.chelonae in culture (Lowenstein-Jensen medium base), therefore clarithromycin treatment has been started (best therapy choice in the literature).http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000100104&tlng=enClarithromycinImmunosuppressionMixed connective tissue diseaseMycobacterium chelonaeMycobacterium fortuitumNontuberculous mycobacteriaPrednisoneSkinVirulence
spellingShingle Renan Lage
Danilo Guerreiro Zeolo Biccigo
Felipe Borba Calixto Santos
Erica Chimara
Elisangela Samartin Pegas Pereira
Adilson da Costa
Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
Anais Brasileiros de Dermatologia
Clarithromycin
Immunosuppression
Mixed connective tissue disease
Mycobacterium chelonae
Mycobacterium fortuitum
Nontuberculous mycobacteria
Prednisone
Skin
Virulence
title Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
title_full Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
title_fullStr Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
title_full_unstemmed Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
title_short Mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
title_sort mycobacterium chelonae cutaneous infection in a patient with mixed connective tissue disease
topic Clarithromycin
Immunosuppression
Mixed connective tissue disease
Mycobacterium chelonae
Mycobacterium fortuitum
Nontuberculous mycobacteria
Prednisone
Skin
Virulence
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000100104&tlng=en
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