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Logo of annaldermaAnnals of DermatologyThis ArticleInformation for AuthorsOnline Submission
 
Ann Dermatol. 2009 February; 21(1): 84–87.
Published online 2009 February 28. doi:  10.5021/ad.2009.21.1.84
PMCID: PMC2883380

A Case of Skin and Soft Tissue Infection Caused by Mycobacterium abscessus

Yong Hyun Kwon, M.D., Ga-Young Lee, M.D.,corresponding author Won-Serk Kim, M.D., and Kea Jeung Kim, M.D.

Abstract

Mycobacterium abscessus (M. abscessus) is an acid-fast bacillus that's classified as a pathogenic "rapid growing" nontuberculous mycobacteria. It is an uncommon cause of human disease, but it can cause skin and soft tissue infection after skin injury following inoculation, minor trauma and surgery. The single most important factor for determining the course and prognosis of a M. abscessus infection is the underlying immune status of the host. We report here on a 71-year-old female who presented with multiple painful erythematous cutaneous nodules on her left forearm. She had diabetes mellitus and had taken oral steroid by herself for two years because of her osteoarthritis. Histologically, granulomas and inflammatory cell infiltration were observed and M. abscessus was identified via the mycobacterial culture. We performed curettage and drainage, followed by 6 months of oral clarithromycin and the patient's disease completely healed.

Keywords: Mycobacterium abscessus, Skin infection

Articles from Annals of Dermatology are provided here courtesy of Korean Dermatological Association and Korean Society for Investigative Dermatology