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CC BY-NC-ND 4.0 · J Lab Physicians 2011; 3(02): 127-129
DOI: 10.4103/0974-2727.86850
Case Report

Multifocal Keloids Associated with Mycobacterium fortuitum following Intralesional Steroid Therapy

Shailesh Kumar
Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
,
Noyal Mariya Joseph
Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
,
Joshy M Easow
Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
,
Sivaraman Umadevi
Department of Microbiology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
› Author Affiliations Source of Support: Nil
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ABSTRACT

We report a case of subcutaneous abscess formation with Mycobacterium fortuitum following intralesional steroid injection into multifocal keloids. A high index of suspicion of atypical mycobacteria infection is needed in patients with a history of skin and soft tissue infections, in particular late-onset infections, which are negative for routine bacterial cultures and without a clinical response to antibiotics used for acute pyogenic infections.

Keywords

Abscess - keloid - Mycobacterium fortuitum


Publication History

Article published online:
09 May 2020

© 2011.

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  • REFERENCES

  • 1 Chen HY, Chen CY, Huang CT, Ruan SY, Chou CH, Lai CC, et al. Skin and soft-tissue infection caused by non-tuberculous mycobacteria in Taiwan, 1997-2008. Epidemiol Infect 2011;139:121-9.
  • 2 Wallace RJ Jr, Swenson JM, Silcox VA, Good RC, Tschen JA, Stone MS. Spectrum of disease due to rapidly growing mycobacteria. Rev Infect Dis 1983;5:657-79.
  • 3 Singh S, Rattan A, Kumar S. Severe cutaneous Mycobacterium chelonei infection following a yellow jacket sting. Tuber Lung Dis 1992;73:305-6.
  • 4 Sarma S, Thakur R. Cutaneous infection with Mycobacterium fortuitum: An unusual presentation. Indian J Med Microbiol 2008;26:388-90.
  • 5 Okano A, Shimazaki C, Ochiai N, Hatsuse M, Takahashi R, Ashihara E, et al. Subcutaneous infection with Mycobacterium fortuitum after allogeneic bone marrow transplantation. Bone Marrow Transplant 2001;28:709-11.
  • 6 Kuo Y, Chiou H, Chou Y, Chiou S, Chang C. Solitary subcutaneous non-tuberculous mycobacterial infection: A case report and its ultrasound appearance. Chin J Radiol 2004;29:47-51.
  • 7 Subbarao EK, Tarpay MM, Marks MI. Soft-tissue infections caused by Mycobacterium fortuitum complex following penetrating injury. Am J Dis Child 1987;141:1018-20.
  • 8 Sehgal VN, Bhattacharya SN, Jain S, Logani K. Cutaneous tuberculosis: The evolving scenario. Int J Dermatol 1994;33:97-104.
  • 9 Chin PW, Koh CK, Wong KT. Cutaneous tuberculosis mimicking cellulitis in an immunosuppressed patient. Singapore Med J 1999;40:44-5.
  • 10 Uslan DZ, Kowalski TJ, Wengenack NL, Virk A, Wilson JW. Skin and soft tissue infections due to rapidly growing mycobacteria: Comparison of clinical features, treatment, and susceptibility. Arch Dermatol 2006;142:1287-92.
  • 11 Murillo J, Torres J, Bofill L, Rios-Fabra A, Irausquin E, Isturiz R, et al. Skin and wound infection by rapidly growing mycobacteria: An unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group. Arch Dermatol 2000;136:1347-52.
  • 12 Behroozan DS, Christian MM, Moy RL. Mycobacterium fortuitum infection following neck liposuction: A case report. Dermatol Surg 2000;26:588-90.
  • 13 Wallace RJ Jr. The clinical presentation, diagnosis, and therapy of cutaneous and pulmonary infections due to the rapidly growing mycobacteria, M. fortuitum and M. chelonae. Clin Chest Med 1989;10:419-29.