CUTANEOUS NODULES OF MYCOBACTERIUM-CHELONAE IN AN IMMUNOSUPPRESSED PATIENT WITH PREEXISTING PULMONARY COLONIZATION JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY Swetter, S. M., Kindel, S. E., SMOLLER, B. R. 1993; 28 (2): 352-355

Abstract

A 30-year-old immunocompromised man with known pulmonary Mycobacterium chelonae colonization developed a systemic infection with cutaneous manifestations. The eruption consisted of multiple, nontender, subcutaneous nodules on the extremities. A diagnosis of disseminated M. chelonae was made on the basis of recovery of M. chelonae subspecies abscessus from blood and bronchoalveolar lavage fluid and histologic evidence of acid-fast bacilli in a skin biopsy specimen. We believe this is the first reported case of disseminated M. chelonae infection in an immunocompromised host in whom a primary source of the infection was identified.

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