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 Case Reports |
| A Case of Scrofuloderma Caused by Mycobacterium fortuitum |
| Young Min Park, M.D., Hoon Kang, M.D., Sang Hyun Cho, M.D., Baik Kee Cho, M.D. Bum Jun Kim, Ph.D.*, Yoon Hoh Kook, M.D.* and Eun Mi Park† |
| Department of Dermatology, The Catholic University of Korea,Department of Microbiology and Institute of Endemic Diseases, MRC, Seoul National University College of Medicine*,Korea Institute of Tuberculosis, Korean National Tuberculosis Association†, Seoul, Korea |
Vol.31 Num.2 (p171~175)
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Mycobacterium fortuitum causes a wide spectrum of cutaneous and extracutaneous diseases. Trauma may precede the primary cutaneous disease. Granulomatous nodules, ulcers, scrofuloderma, abscess, and sporotrichoid lesions have been described. Extracutaneous manifestations include postoperative vasculitis, endocarditis, pericarditis, mediastinitis, osteomyelitis, and disseminated disease. However, there have been few reports of scrofuloderma caused by M. fortuitum in the literature. We report a case of scrofuloderma due to M. fortuitum, which developed on the right inguinal area in a 8-year old boy. He had received a tearing injury to his gluteal region in a swimming pool. M. fortuitum was isolated by culture of skin specimen on Lowenstein- Jensen medium and subsequently identified by selected biochemical tests and comparative sequence analysis of rpoB gene (306 bp). Eight-week treatment with tetracycline after incision and drainage along with infrared irradiation resulted in complete resolution of the lesion |
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Keywords : Mycobacteium fortuitum, Scrofuloderma |
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