Cutaneous Mycobacterium chelonae in a liver transplant patient.
A 51-year-old woman with an orthotopic liver transplant on tacrolimus (SKF 506) and prednisone presented with an erythematous ulcerated nodule on the knee. No preceding trauma was noted. A skin biopsy specimen demonstrated beaded gram-positive, acid-fast rods and the skin culture grew Mycobacterium chelonae (formerly M chelonae subsp chelonae ). This report describes the first case in a liver transplant patient of cutaneous Mycobacterium chelonae under the current method of designating atypical Mycobacterium species.
Nathan
D L
DL
Division of Dermatology, Department of Internal Medicine, Kansas University Medical Center, Kansas City, Kansas 66160, USA.
Singh
S
S
Kestenbaum
T M
TM
Casparian
J M
JM
D001706:Biopsy; D017809:Fatal Outcome; D005260:Female; D019698:Hepatitis C, Chronic / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000473:pathology; D016926:Mycobacterium chelonae / Q000648:ultrastructure; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology; D012867:Skin / Q000473:pathology; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000473:pathology