Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report

Nontuberculous mycobacterial infections, which are often acquired from environmental sources such as water and soil, exhibit a variety of cutaneous manifestations that frequently lead to misdiagnoses and delays in treatment. A 77-year-old w...

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Main Authors: Jin Ju Lee, Yoon Jin Choi, Ji Yeon Byun, You Won Choi, Joo Young Roh, Hae Young Choi
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2024-04-01
Series:The Ewha Medical Journal
Subjects:
Online Access:http://www.e-emj.org/archive/view_article?pid=emj-47-2-29
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author Jin Ju Lee
Yoon Jin Choi
Ji Yeon Byun
You Won Choi
Joo Young Roh
Hae Young Choi
author_facet Jin Ju Lee
Yoon Jin Choi
Ji Yeon Byun
You Won Choi
Joo Young Roh
Hae Young Choi
author_sort Jin Ju Lee
collection DOAJ
description Nontuberculous mycobacterial infections, which are often acquired from environmental sources such as water and soil, exhibit a variety of cutaneous manifestations that frequently lead to misdiagnoses and delays in treatment. A 77-year-old woman presented with multiple skin lesions in a sporotricoid distribution on her right leg, which persisted despite standard antibiotic treatments. Based on the skin biopsy, revealing granulomatous inflammation with acid-fast bacilli, and PCR testing, a nontuberculous mycobacterial infection was diagnosed. Antimycobacterial drug combinations, including clarithromycin, isoniazid, and rifampicin for 4 months, complete the skin lesion's clearance. This case underscores the need for heightened suspicion and the use of appropriate diagnostic techniques, including tissue biopsies and molecular methods such as PCR.
format Article
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institution OA Journals
issn 2234-2591
language English
publishDate 2024-04-01
publisher Ewha Womans University College of Medicine
record_format Article
series The Ewha Medical Journal
spelling doaj-art-de2d668a33af4c3b95785854dcce3af32025-08-20T01:56:28ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912024-04-0147210.12771/emj.2024.e29emj-47-2-29Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case reportJin Ju LeeYoon Jin ChoiJi Yeon ByunYou Won ChoiJoo Young RohHae Young ChoiNontuberculous mycobacterial infections, which are often acquired from environmental sources such as water and soil, exhibit a variety of cutaneous manifestations that frequently lead to misdiagnoses and delays in treatment. A 77-year-old woman presented with multiple skin lesions in a sporotricoid distribution on her right leg, which persisted despite standard antibiotic treatments. Based on the skin biopsy, revealing granulomatous inflammation with acid-fast bacilli, and PCR testing, a nontuberculous mycobacterial infection was diagnosed. Antimycobacterial drug combinations, including clarithromycin, isoniazid, and rifampicin for 4 months, complete the skin lesion's clearance. This case underscores the need for heightened suspicion and the use of appropriate diagnostic techniques, including tissue biopsies and molecular methods such as PCR.http://www.e-emj.org/archive/view_article?pid=emj-47-2-29anti-bacterial agentsbiopsynontuberculous mycobacteriapolymerase chain reactionrepublic of korea
spellingShingle Jin Ju Lee
Yoon Jin Choi
Ji Yeon Byun
You Won Choi
Joo Young Roh
Hae Young Choi
Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
The Ewha Medical Journal
anti-bacterial agents
biopsy
nontuberculous mycobacteria
polymerase chain reaction
republic of korea
title Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
title_full Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
title_fullStr Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
title_full_unstemmed Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
title_short Nontuberculous mycobacterial infection in a sporotricoid distribution in Korea: a case report
title_sort nontuberculous mycobacterial infection in a sporotricoid distribution in korea a case report
topic anti-bacterial agents
biopsy
nontuberculous mycobacteria
polymerase chain reaction
republic of korea
url http://www.e-emj.org/archive/view_article?pid=emj-47-2-29
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