Sporotrichoid cutaneous infection with Mycobacterium kansasii

Owens, Donald W.

doi:10.1001/archderm.100.1.54

Cited by 19 publications

(12 citation statements)

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“…In two reported cases in young children, the families' fi.sh tanks were cleaned in the bathtubs in which the children were bathed (8,9). The main differential diagnosis in our case was infection with the other opportunistic mycobacteria that can spread in a sporotrichoid pattern, such as M. chelonae (12) and M. kansa.sii (13). Sporotrichosis and leishmaniasis would also have been considered in endemic areas.…”

Section: Discussionmentioning

confidence: 81%

Fish Tank Granuloma in a 14‐Month‐Old Girl

1997

Pediatric Dermatology

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A 14-month-old girl developed a persistent ulcerated nodule on her right lower leg associated with further nodules along the thigh. A clinical diagnosis of fish tank granuloma was suspected because of tropical fish tanks at home. The diagnosis was confirmed when Mycobacterium marinum was isolated from low-temperature culture of skin tissue. The child made a complete recovery following treatment with rifampicin for 6 months despite in vitro sensitivity tests reporting resistance. M. marinum infection is uncommon in children, but the diagnosis should be considered in children presenting with chronic skin lesions spreading in a sporotrichoid pattern.

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Section: Discussionmentioning

confidence: 81%

Fish Tank Granuloma in a 14‐Month‐Old Girl

1997

Pediatric Dermatology

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“…M. kansasii is the most virulent of the MOTT 26 and is characterized by an indolent course and lack of response to antibiotics 27 . Clinically, the appearance of the lesions varies and includes papules, nodules, pustules, crusted ulcers, chronic verrucous elevated irregular nodules, cellulitis, sporotrichoid lesions, rhinophyma‐like lesions and oral or perianal ulcers 24,28,29 . The histopathology is variable and includes granulomas, abscess, dense polymorphonuclear infiltrate and epidermal necrosis 25 .…”

Section: Discussionmentioning

confidence: 99%

Mycobacteria other than Mycobacterium tuberculosis are not present in erythema induratum/nodular vasculitis: a case series and literature review of the clinical and histologic findings

Bayer‐Garner¹,

Cox²,

Scott³

et al. 2005

J Cutan Pathol

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Erythema induratum (EI)/nodular vasculitis (NV) is characterized by recurrent crops of tender oedematous nodules on the lower legs. A lobular panniculitis with granulomatous inflammation, vasculitis, focal necrosis and septal fibrosis is present. Mycobacterium tuberculosis DNA has been detected in some lesions by means of polymerase chain reaction (PCR). Ten cases of EI/NV were found. H&E slides were reviewed. PCR assays for M. tuberculosis and mycobacteria other than M. tuberculosis (MOTT) were performed. PCR did not reveal M. tuberculosis (0%) or MOTT (0%) DNA, with positive controls, indicating the reliability of the assays. Among the MOTT, cutaneous infections are most commonly caused by M. marinum. Subcutaneous tuberculoid granulomas may be seen with M. kansasii, M. marinum, M. scrofulaceum and M. avium complex. M. gordonae, M. szulgai and M. malmoense rarely cause cutaneous infections. M. simiae, M. gastri and M. asiaticum are probably not cutaneous pathogens. M. tuberculosis and MOTT DNA was not found in EI/NV. EI/NV has diverse aetiologies with varying pathogeneses leading to similar histologic changes. The cases analysed may not have had an infectious aetiology. However, in EI/NV, performance of PCR for MOTT as well as M. tuberculosis complex may still be beneficial, particularly in cases from immunocompromised hosts.

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“…NTM are, as a rule, not highly reponsive to antituberculous drugs, but may be sensitive to other chemotherapeutic agents. M. abscessus is also known to be resistant to the standard antituberculous drugs (15). M. abscessus is usually sensitive to amikacin, cefxitin, and clarithromycin (16).…”

Section: Discussionmentioning

confidence: 99%

Sporotrichoid Dermatosis Caused by Mycobacterium abscessus from a Public Bath

Lee

Kim

Shur

et al. 2000

The Journal of Dermatology

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Infections caused by nontuberculous mycobacteria (NTM) are usually associated with immunocompromised states. More recently, however, NTM infections are being diagnosed with greater frequency in patients lacking traditional risk factors. However, cutaneous infection with rapidly growing mycobacteria is uncommon, and diagnosis may be difficult. Herein we present a case of sporotrichoid dermatosis on both forearms caused by Mycobacterium abscessus in a 34-year-old female (case 1). Mycobacterium abscesus was identified by culture as a colorless colony with rapid growth and by comparative sequence analysis of the rpoB gene. The patient was suspected to have been infected in a public bath in which she worked, it was located in a famous hot spring area in Korea. The condition was first noticed after she had been working in the bath for two years and after another employee (case 2) suffered similar lesions which had responded to treatment. The patient's skin lesions were successfully treated with anti-tuberculous drugs for six months.

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Sporotrichoid cutaneous infection with Mycobacterium kansasii

Cited by 19 publications

References 0 publications

Fish Tank Granuloma in a 14‐Month‐Old Girl

Fish Tank Granuloma in a 14‐Month‐Old Girl

Mycobacteria other than Mycobacterium tuberculosis are not present in erythema induratum/nodular vasculitis: a case series and literature review of the clinical and histologic findings

Sporotrichoid Dermatosis Caused by Mycobacterium abscessus from a Public Bath

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