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Multiple nontuberculous scrofulodermas showing dramatic response to clarithromycin
oleh: Kumar Parimalam, G Senthil, M Vinnarasan, V Arumugakani, B M Amutha, S Lalitha, S Swarna
Format: | Article |
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Diterbitkan: | Wolters Kluwer Medknow Publications 2015-01-01 |
Deskripsi
Atypical mycobacteria are distinct from the Mycobacterium tuberculosis. Mycobacterium chelonae, a non-pigment producing rapid grower, can be found in many cutaneous sites; infection occurs most commonly after skin trauma from surgery, injections, or minor injuries. In immune competent patients, the infection is more frequently localized as a cellulitis or a nodule, whereas, in the immunocompromised patient, dissemination (more than five lesions) can occur. Because the organism is resistant to antituberculous therapy, abscess can develop and follow a chronic, indolent course. We report a case of multiple scrofuloderma due to nontuberculous infection caused by M. chelonae showing dramatic response to clarithromycin.