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

Atikah Rozhan; Kahairi Abdullah; Zamzil Amin  Asha'ari

doi:10.31436/imjm.v20i3.985

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

A Case Report

Authors

Atikah Rozhan Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS) Sultan Ahmad Shah Medical Centre (SASMEC)
Kahairi Abdullah KPJ Batu Pahat Specialist Hospital
Zamzil Amin Asha'ari ORL-HNS Department, Level 5, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan

DOI:

https://doi.org/10.31436/imjm.v20i3.985

Keywords:

Rapidly growing mycobacterium, , mycobacterium chelonae, mycobacterium fortuitum, chronic skin infection, immunocompetent

Abstract

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.

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Published

01.07.2021

How to Cite

Rozhan, A., Abdullah, K., & Asha’ari, Z. A. . (2021). Disseminated Cutaneous Mycobacterium Fortuitum-Chelonae Complex Infection in a Young, Immunocompetent Patient: A Case Report: A Case Report. IIUM Medical Journal Malaysia, 20(3). https://doi.org/10.31436/imjm.v20i3.985

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Issue

Vol. 20 No. 3 (2021): IIUM Medical Journal Malaysia - July 2021

Section

Case Report

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