Rhinosinusitis and disseminated cutaneous infection caused by Mycobacterium chelonae in an immunocompromised patient.

Abstract

Mycobacterium chelonae frequently involves the skin, and the disseminated form can be observed in immunocompromised patients. In contrast, rhinosinusitis caused by the bacterium is a rare manifestation, which occurs independently of immune status. We report here a rare case of M. chelonae infection presenting as both disseminated cutaneous infection and rhinosinusitis in an immunocompromised patient. He had received systemic corticosteroids for 11 months due to cryptogenic organizing pneumonia. Before admission, he sustained injuries to his left arm and hand; those injuries succumbed to an infection that would subsequently spread to his other limbs, face, and even nasal cavities. This valuable case suggests that disseminated cutaneous infection by M. chelonae could spread to other organs.

• Authors: Yasunori Enomoto, Misao Oba, Norihisa Ishii, Kazue Nakanaga, Yuki Yagi, Hirotsugu Hasegawa, Yuichi Ozawa, Takashi Matsui, Koshi Yokomura, Takafumi Suda
• Journal: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy (J Infect Chemother) Vol. 21 Issue 9 Pg. 691-4 (Sep 2015) ISSN: 1437-7780 [Electronic] Netherlands
• PMID: 26025682 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Anti-Bacterial Agents

Topics

• Aged, 80 and over
• Anti-Bacterial Agents (therapeutic use)
• Fatal Outcome
• Humans
• Immunocompromised Host
• Male
• Maxillary Sinusitis (microbiology)
• Mycobacterium Infections, Nontuberculous (complications, drug therapy)
• Mycobacterium chelonae
• Rhinitis (microbiology)
• Skin Diseases, Bacterial (microbiology)