Disseminated skin infection due to Mycobacterium fortuitum in an immunocompetent patient

1998 ◽  
Vol 11 (2) ◽  
pp. 158-161 ◽  
Author(s):  
J Silvestre Salvador
Keyword(s):  
Skin Infection ◽  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum

scholarly journals Disseminated Cutaneous Mycobacterium Fortuitum-Chelonae Complex Infection in a Young, Immunocompetent Patient: A Case Report

2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Atikah Rozhan ◽  
Kahairi Abdullah ◽  
Zamzil Amin Asha'ari
Keyword(s):  
Case Report ◽  
Drug Therapy ◽  
Skin Infection ◽  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum ◽  
Immunocompromised Patients ◽  
Skin Infections ◽  
Diagnostic Dilemma ◽  
Rapidly Growing Mycobacteria ◽  
Immunocompetent Patients

Mycobacteria fortuitum and chelonae are a group of Rapidly Growing Mycobacteria (RGM) that can cause skin infections, most commonly in immunocompromised patients. RGM can also infect immunocompetent patients, but the disease is usually localized. Immunocompetent patients infected by RGM usually had a predisposing condition leading to the skin infection. We present a case of an immunocompetent patient with no predisposing factors, who presented with a chronic lesion on his neck that disseminated to his axilla. Culture and species identification from the skin biopsy revealed Mycobacterium fortuitum-chelonae complex. The patient was treated with a combination of surgery and multi-drug therapy. This case report highlights the rarity of cutaneous RGM infections encountered in ENT setting and the diagnostic dilemma due to the non-typical characteristics of skin lesion in RGM infections.

Disseminated skin infection due to Mycobacterium fortuitum in an immunocompetent patient

1998 ◽  
Vol 11 (2) ◽  
pp. 158-161 ◽  
Author(s):  
J.F. Silvestre Salvador ◽  
M.I. Betlloch ◽  
R. Alfonso ◽  
R.L. Ramón ◽  
A.M. Morell ◽  
...  
Keyword(s):  
Skin Infection ◽  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum

scholarly journals Skin Infection Due to Serratia marcescens in an Immunocompetent Patient

2011 ◽  
Vol 102 (3) ◽  
pp. 236-237
Author(s):  
P. Giráldez ◽  
E. Mayo ◽  
P. Pavón ◽  
A. Losada
Keyword(s):  
Serratia Marcescens ◽  
Skin Infection ◽  
Immunocompetent Patient

Mycobaterium fortuitum disseminated infection in an immunocompetent patient without predisposing factors

2020 ◽  
Vol 13 (9) ◽  
pp. e235842
Author(s):  
Stephanie d'Incau ◽  
Maria-Isabel Vargas ◽  
Alexandra Calmy ◽  
Jean-Paul Janssens
Keyword(s):  
Risk Factors ◽  
Pulmonary Infection ◽  
Skin Lesions ◽  
Immunocompetent Patient ◽  
Definitive Diagnosis ◽  
Optimal Treatment ◽  
Molecular Techniques ◽  
Surgical Removal ◽  
Mycobacterium Fortuitum ◽  
Direct Inoculation

Most Mycobacterium fortuitum infections described involve direct inoculation through skin lesions. We describe the case of a patient without risk factors who presented with an intracranial mass and a pulmonary infection with M. fortuitum. As M. fortuitum are rarely pathogens, there is little knowledge about the optimal treatment and outcome of such infections: what is the best mode of administration, what is the best therapy duration and is surgery always required are some of the unanswered questions. In our patient, surgical removal of the mass associated with a 1-year antimycobacterial therapy led to a full recovery. Even though M. fortuitum was rapidly identified in sputum, it was initially considered non-pathogenic and the definitive diagnosis required almost 6 weeks of investigations. New molecular techniques will probably lead to more identifications of M. fortuitum in the next few years and a better knowledge of their possible pathogenicity and optimal treatment.

Mycobacterium fortuitum associated with fasciotomy in an immunocompetent patient

2009 ◽  
Vol 20 (1) ◽  
pp. 71-74
Author(s):  
Elba L. Rangel-Gamboa ◽  
Rigoberto Hernández-Castro ◽  
Roberto Arenas ◽  
Judith Domínguez-Cherit ◽  
Rodolfo Vick ◽  
...  
Keyword(s):  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum

scholarly journals Misidentification of Mycobacterium fortuitum in an immunocompetent patient presenting with a unilateral neck mass

2014 ◽  
Vol 2014 (apr17 1) ◽  
pp. bcr2014203857-bcr2014203857 ◽  
Author(s):  
T. Kanzara ◽  
A. Hall ◽  
S. Namnyak ◽  
T. Owa
Keyword(s):  
Immunocompetent Patient ◽  
Neck Mass ◽  
Mycobacterium Fortuitum

“Speckled” Radiogallium Images in Disseminated Mycobacterium fortuitum Skin Infection

1992 ◽  
Vol 17 (3) ◽  
pp. 226-227 ◽  
Author(s):  
NORMAN K. K. LEE ◽  
JAMES D. SLAVIN ◽  
RICHARD P. SPENCER ◽  
EYTAN M. RUBINSTEIN
Keyword(s):  
Skin Infection ◽  
Mycobacterium Fortuitum

scholarly journals Mycobacterium fortuitum skin infection as a complication of anabolic steroids: a rare case report

2013 ◽  
Vol 95 (1) ◽  
pp. e12-e13 ◽  
Author(s):  
R Pai ◽  
U Parampalli ◽  
G Hettiarachchi ◽  
I Ahmed
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Skin Infection ◽  
Anabolic Steroids ◽  
Mycobacterium Fortuitum ◽  
Rare Case Report ◽  
Abscess Wall

Mycobacterium fortuitum is a rare cause of recurrent skin abscesses in an immunocompetent person. We report the case of a 37-year-old man presenting with multiple recurrent non-healing skin abscesses. Culture of the abscess wall yielded growth of M fortuitum. In our case, we highlight the association of anabolic steroids with non-tuberculous mycobacterial skin abscesses that fail to resolve despite repeated drainage.

scholarly journals Meningitis caused by Mycobacterium fortuitum mimicking tuberculous meningitis in an immunocompetent patient: a case report and literature review.

2020 ◽  
Author(s):  
Siran Lin ◽  
Qingluan Yang ◽  
Ting Wang ◽  
Wen Jia ◽  
Shu Chen ◽  
...  
Keyword(s):  
Tuberculous Meningitis ◽  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum ◽  
Microbiological Analysis ◽  
The Real ◽  
Surgical History ◽  
History Of ◽  
Hsp65 Gene ◽  
Wrong Diagnosis ◽  
One Year

Abstract Background: Nontuberculous mycobacteria (NTM) are a large group of microorganisms that mainly affect persons who have immune deficiency. Mycobacterium fortuitum is one of them, which usually cause soft tissue or pulmonary disease. Meningitis caused by M. fortuitum is extremely rare and is often confused with tuberculous meningitis (TBM) due to its low prevalence. Case presentation: A 35-year-old woman was referred to our hospital with a history of headache, followed by fever, chills, cough, and vomiting. The results of mycobacterial culture and TSPOT. TB of her cerebrospinal fluid were positive. Therefore, she was diagnosed with tuberculous meningitis and was given anti-tuberculous chemotherapy. During the observation, the CSF results were not significantly improved. Finally, hsp65 gene PCR revealed that the real pathogen was M. fortuitum. The treatment therapy was changed and the patient recovered after one-year combined chemotherapy. Conclusions: In this case we described a patient with M. fortuitum meningitis who was immunocompetent with no trauma or surgical history. The wrong diagnosis with TBM was made due to positive results of both blood and CSF TSPOT. TB . The pathological evidence and microbiological analysis of hsp65 gene PCR suggested the real pathogen to be M. fortuitum . The diagnostic accuracy of blood and CSF TSPOT. TB in case of TBM is moderate. Infections of NTM cannot be excluded when the patient does not respond to anti-tuberculous therapy and it is of great significance to do molecular identification for clinical isolates of mycobacterium.

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