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Mycobacterium fortuitum에 의한 피부감염증
A Case of Cutaneous Infection due to Mycobacterium Fortuitum
전성진 , 서기석 , 김상태 , 유경식 , 박인달 , 장명웅 ( Seong Jin Jeon , Kee Suck Suh , Sang Tae Kim , Gyung Sig Yoo , In Dal Park , Myung Woong Chang )
UCI I410-ECN-0102-2009-510-005434565

We report a case of cutaneous Mycobacterium fortuitum infection occurring in a 53-year-old man with multiple subcutaneous nodules on his right thigh and right lower leg. He has been treated with long-term systemic corticosteroids for his nephrotic syndrome. He had no constitutional symptoms and no lymphadenopathy. Laboratory findigs were within normal limits except for abnormal values for nephrotic syndrome. The skin biospy specimen showed a mixed pattern of epithelioid granuloma with micropseudocyst containing acid-fast bacilli. Methenamine silver stain was negative. The cultures from the skin biopsy specimens on Ogawa media(3% KH_2PO_4) at 24℃, 32℃, 37℃, yielded colonies of M. fortuitum after 4 days. Culture on Sabouraud media revealed no growth. DOPA reaction was negative. Nitrate reduction test was positive and Tween 80 hydrolysis test was negative. Urine and sputum cultures for atypical mycobacteria were negative. This M. fortuitum was sensitive to amikacin or tetracycline. Four months later, the skin lesions regressed without therapy.

[자료제공 : 네이버학술정보]
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