https://scholars.lib.ntu.edu.tw/handle/123456789/568050
標題: | Mycobacterium kansasii infection preseting as cellulitis in a patient with systemic lupus erythematosus | 作者: | Hsu P.-Y. YAO-HSU YANG Hsiao C.-H. PING-ING LEE BOR-LUEN CHIANG |
公開日期: | 2002 | 卷: | 101 | 期: | 8 | 起(迄)頁: | 581-8584 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | The prevalence of mycobacterial infection has increased in recent years, especially in patients immunocompromised due to autoimmune disease, malignancy and AIDS. Mycobacterium kansasii infection most commonly presents as tuberculosis-like pulmonary disease. We report the case of a 38-year-old woman with systemic lupus erythematosus (SLE) who developed cellulitis over the left lower leg and had poor response to antibiotics. Two months before this admission, she had sustained a small wound over the right pretibial area and had noticed erythematous swelling after swimming at the beach. Pathologic examination of biopsied tissue showed acid-fast bacilli, and culture yielded M. kansasii. The cellulitis improved gradually during treatment with antimycobacterial agents for 1 year. This case emphasizes the possibility that cutaneous M. kansasii infection may occur in an immunocompromised patient and that exposure to contaminated water is a possible source. With early diagnosis, the response to an antimycobacterial multidrug regimen is usually satisfactory. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036702883&partnerID=40&md5=7707518ffd9088e17475e56b3a98523c https://scholars.lib.ntu.edu.tw/handle/123456789/568050 |
ISSN: | 0929-6646 | SDG/關鍵字: | amoxicillin plus clavulanic acid; amphotericin B; ampicillin; antibiotic agent; antimycobacterial agent; azathioprine; cefixime; ceftazidime; ciprofloxacin; clarithromycin; corticosteroid; dicloxacillin; doxycycline; erythromycin; ethambutol; hydroxychloroquine; immunosuppressive agent; indapamide; isoniazid; macrolide; meloxicam; oxacillin; prednisolone; quinoline derived antiinfective agent; rifampicin; streptomycin; vancomycin; acid fast bacterium; acquired immune deficiency syndrome; adult; anamnesis; antibiotic therapy; article; autoimmune disease; bacterium culture; biopsy; cancer; case report; cellulitis; drug response; early diagnosis; environmental exposure; erythema; female; histopathology; human; immune deficiency; leg disease; lung tuberculosis; mycobacteriosis; Mycobacterium kansasii; prevalence; skin infection; swimming; systemic lupus erythematosus; treatment outcome; water contamination; wound infection; Adult; Cellulitis; Female; Humans; Lupus Erythematosus, Systemic; Mycobacterium Infections, Atypical; Mycobacterium kansasii; Skin; Water Microbiology |
顯示於: | 醫學系 |
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