scholarly journals Soft tissue infection due to Mycobacterium fortuitum following acupuncture: a case report and review of the literature

2010 ◽  
Vol 4 (08) ◽  
pp. 521-525 ◽  
Author(s):  
Armando Guevara-Patiño ◽  
Marisol Sandoval de Mora ◽  
Aileen Farreras ◽  
Ismar Rivera-Olivero ◽  
Danibeth Fermin ◽  
...  

We report the first case of a post-acupuncture soft tissue infection due to Mycobacterium fortuitum. Two months after finishing an acupuncture treatment session, an immunocompetent 23-year-old woman developed cellulitis at the side of the needle insertions and the acid-fast bacillus was isolated from a closed abscess. The patient was successfully treated with a proper drug combination. We review the literature concerning the infection source and the risks for skin and soft tissue infection due to mycobacteria after acupuncture. The infection source in most cases is unknown but is probably associated with the inadequate sterilization of the needles or the puncture site. We show that these infections are not rare but difficult to diagnose. To avoid delays in the definitive diagnosis, infection with mycobacteria should be considered for skin and soft tissue infections, in particular late-onset infections, which are negative for routine bacterial cultures and without a clinical response to antibiotics used for acute pyogenic infections. Bacterial cultures from this lesion should be maintained for at least six weeks before discharged as negative.

2017 ◽  
Vol 37 (4) ◽  
pp. 346-348 ◽  
Author(s):  
Hanwool Cho ◽  
Kang-Gyun Park ◽  
Seong Beom Han ◽  
Nack-Gyun Chung ◽  
Yeon-Joon Park

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Diogo Guimaraes ◽  
Luís Ribeiro ◽  
Luís Vieira ◽  
Ruben Coelho

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.


2020 ◽  
Vol 155 (7) ◽  
pp. 322-323
Author(s):  
Iker Falces-Romero ◽  
Sonia Jiménez-Rodríguez ◽  
Alicia Rico-Nieto

2018 ◽  
Vol 5 (7) ◽  
Author(s):  
Khalid M Dousa ◽  
Ahmed Babiker ◽  
Daniel Van Aartsen ◽  
Neel Shah ◽  
Robert A Bonomo ◽  
...  

Abstract Ibrutinib is an irreversible inhibitor of Bruton’s tyrosine kinase approved for the treatment of B-cell malignancies. There is growing concern about the risk of opportunistic infections following ibrutinib therapy. Herein, we describe the first case of Mycobacterium chelonae skin and soft tissue infection in a patient receiving ibrutinib and recount the challenges in treating this infection.


2011 ◽  
Vol 3 (02) ◽  
pp. 127-129 ◽  
Author(s):  
Shailesh Kumar ◽  
Noyal Mariya Joseph ◽  
Joshy M Easow ◽  
Sivaraman Umadevi

ABSTRACTWe report a case of subcutaneous abscess formation with Mycobacterium fortuitum following intralesional steroid injection into multifocal keloids. A high index of suspicion of atypical mycobacteria infection is needed in patients with a history of skin and soft tissue infections, in particular late-onset infections, which are negative for routine bacterial cultures and without a clinical response to antibiotics used for acute pyogenic infections.


2015 ◽  
Vol 144 (5) ◽  
pp. 1117-1120 ◽  
Author(s):  
J. A. TORRES-COY ◽  
B. A RODRÍGUEZ-CASTILLO ◽  
R. PÉREZ-ALFONZO ◽  
J. H. DE WAARD

SUMMARYOutbreaks of soft tissue or skin infection due to non-tuberculous mycobacteria are reported frequently in scientific journals but in general the infection source in these outbreaks remains unknown. In Venezuela, in two distinct outbreaks, one after breast augmentation surgery and another after hydrolipoclasy therapy, 16 patients contracted a soft tissue infection due toMycobacterium abscessussubsp.abscessus.Searching for the possible environmental infection sources in these outbreaks, initially the tap water (in the hydrolipoclasy therapy outbreak) and a surgical skin marker (in the breast implant surgery outbreak), were identified as the infection sources. Molecular typing of the strains with a variable number tandem repeat typing assay confirmed the tap water as the infection source but the molecular typing technique excluded the skin marker. We discuss the results and make a call for the implementation of stringent hygiene and disinfection guidelines for cosmetic procedures in Venezuela.


2010 ◽  
Vol 139 (1) ◽  
pp. 121-129 ◽  
Author(s):  
H.-Y. CHEN ◽  
C.-Y. CHEN ◽  
C.-T. HUANG ◽  
S.-Y. RUAN ◽  
C. H. CHOU ◽  
...  

SUMMARYThe aim of this study was to investigate the clinical, microbiological, and pathological characteristics and the outcomes of skin and soft-tissue infection (SSTI) caused by non-tuberculous mycobacteria (NTM). Medical records of 50 patients with SSTI caused by NTM identified from 2005 to 2008 and 63 patients previously reported in a medical centre from 1997 to 2004 were reviewed. The annual incidence (per 100 000 outpatients and in-patients) ranged from 0·57 in 2005, 0·38 in 2007, to 1·1 in 2008, with an average of 0·62/100 000. From 1997 to 2008, the average incidence was 1·39/100 000 patients. The average annual incidence of SSTI caused by NTM was 0·62/100 000 outpatients and in-patients during 2005 and 2008. Of the total of 113 patients identified during the 12-year period, patients infected withMycobacterium fortuitumandM. marinumwere younger than those infected withM. avium-intracellularecomplex (MAC) (36 and 44 yearsvs. 55 years,P=0·004 andP=0·056, respectively), and were more likely to have previous invasive procedures than those infected with MAC andM. abscessus(81·8% and 72·0%vs. 27·8% and 54·8%,P=0·007), and less likely to have associated immunosuppression (9·1% and 24%vs. 66·7% and 45·2%,P=0·006). Granuloma was more often observed in immunocompetent patients (60·1%vs. 40%,P=0·019), and inM. marinum-infected specimens (78·3%). There were significant differences in the demographic and clinical features of patients with NTM SSTI, including immunosuppression, trauma experience, and depth of tissue infections.


2004 ◽  
Vol 74 (8) ◽  
pp. 662-666 ◽  
Author(s):  
John C. Muthusami ◽  
Frederick L. Vyas ◽  
Umadevi Mukundan ◽  
Mark Ranjan Jesudason ◽  
Sanjay Govil ◽  
...  

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