title: Giant Mycobacterium fortuitum abscess associated with systemic lupus erythematosus.
abstract: A 36-year-old woman with a 1 1/2-year history of systemic lupus erythematosus was first seen in October 1984 with a six-month history of several ulcerated and scarred lesions on the lower extremities. A biopsy specimen showed a granulomatous infiltrate of deep dermis and subcutaneous tissue. Over the next three weeks, the patient developed a violaceous, warm, indurated, tender, fluctuant lesion involving most of the left buttock. A culture showed a rapidly growing atypical acid-fast bacteria, which was later identified as Mycobacterium fortuitum. The patient was treated with surgical drainage of the left hip abscess, followed by a three-week treatment with doxycycline hyclate and amikacin sulfate. She was discharged while receiving oral doxycycline and ethambutol hydrochloride.
mesh_terms: D000038:Abscess / Q000150:complications* / Q000628:therapy; D000328:Adult; D000583:Amikacin / Q000627:therapeutic use; D004318:Doxycycline / Q000031:analogs & derivatives / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009164:Mycobacterium Infections / Q000150:complications*; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000628:therapy; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification; D012874:Skin Diseases, Infectious / Q000150:complications* / Q000628:therapy
chemical_list: D000583:Amikacin; D004318:Doxycycline