Korean J Infect Dis.  1999 Apr;31(2):171-175.

A Case of Scrofuloderma Caused by Mycobacterium fortuitum

Affiliations
  • 1Department of Dermatology, The Catholic University of Korea.
  • 2Department of Microbiology, Seoul National University College of Medicine, Seoul, Korea.
  • 3Institute of Endemic Diseases, MRC, Korea Institute of Tuberculosis, Korean National Tuberculosis Association, Seoul, Korea.

Abstract

Mycobacterium fortuitum causes a wide spectrum of cutaneous and extracutaneous diseases. Trauma may precede the primary cutaneous disease. Granulomatous nodules, ulcers, scrofuloderma, abscess, and sporotrichoid lesions have been described. Extracutaneous manifestations include postoperative vasculitis, endocarditis, pericarditis, mediastinitis, osteomyelitis, and disseminated disease. However, there have been few reports of scrofuloderma caused by M. fortuitum in the literature. We report a case of scrofuloderma due to M. fortuitum, which developed on the right inguinal area in a 8-year old boy. He had received a tearing injury to his gluteal region in a swimming pool. M. fortuitum was isolated by culture of skin specimen on Lowenstein- Jensen medium and subsequently identified by selected biochemical tests and comparative sequence analysis of rpoB gene (306 bp). Eight-week treatment with tetracycline after incision and drainage along with infrared irradiation resulted in complete resolution of the lesion.

Keyword

Mycobacteium fortuitum; Scrofuloderma

MeSH Terms

Abscess
Buttocks
Child
Drainage
Endocarditis
Humans
Male
Mediastinitis
Mycobacterium fortuitum*
Mycobacterium*
Osteomyelitis
Pericarditis
Sequence Analysis
Skin
Swimming Pools
Tetracycline
Tuberculosis, Cutaneous*
Ulcer
Vasculitis
Tetracycline
Full Text Links
  • KJID
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr