[Cutaneous infection due to Mycobacterium chelonae in a hemodialysed patient].
We report a case of a hemodialysed patient who developed a cutaneous Mycobacterium chelonae infection. This infection was only localised on the left upper limb, downstream from the arteriovenous fistula. M. chelonae is an unusual human pathogen, which is present in soil, dust, and stagnant water. Various factors, especially immunosuppression can favour this sort of infection in humans. Because of the ubiquity of the mycobacterium, the source of the inoculation sometimes remains unknown. However, a great number of cases are related to nosocomial infections. The preferential localizations are cutaneous, ocular, and pulmonary. Some cases of cutaneous infections due to M. chelonae, or caused by other atypical mycobacterium, are described in renal transplantation, peritoneal dialysis and hemodialysis. In the case we describe here, the source of contamination was not identified. The outcome was favourable with clarithromycin. This treatment is still continued because of a reappearance of the lesions when treatment was discontinued.
Drouineau
Olivier
O
Service de néphrologie hémodialyse transplantation rénale, hôpital de Bois-Guillaume, CHU de Rouen, 147, avenue Maréchal-Juin, 76230 Bois-Guillaume, France. Olivier.Drouineau@chu-rouen.fr
Rivault
Odile
O
Le Roy
Franck
F
Martin-Passos
Elsa
E
Young
Paul
P
Godin
Michel
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003428:Cross Infection; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy; D016926:Mycobacterium chelonae; D006435:Renal Dialysis / Q000009:adverse effects*; D012874:Skin Diseases, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents