Skin, subcutaneous tissue, and allograft infection with Mycobacterium fortuitum in a renal transplant recipient.
Different types of skin disorders are prevalent among kidney transplant recipients. The development of nodular skin lesions in these patients would usually raise a suspicion of Kaposi's sarcoma. We report a patient, who presented with nodular skin lesions one year post transplant, but the biopsy revealed a rare diagnosis - Mycobacterium fortuitum (M. fortuitum) infection of the skin, subcutaneous, and renal allograft. He was treated successfully with an initial two-week course of intravenous cefoxitin, followed by a six-month course of ciprofloxacin, clarithromycin, and co-trimoxazole. There are a few reported cases of M. fortuitum infection in renal transplant recipients in the literature - notably urinary tract infection, allograft infection, and psoas abscess, but to the best of our knowledge this is the first case demonstrating extensive infection involving the skin, subcutaneous tissue, and renal allograft. Physicians vested with the care of renal transplant patients should be aware of this rare infection in these patients.
Raees F
RF
Mushtaq
Nephrology Unit, Department of Medicine, Bayero University, Kano, Nigeria.
Adamu
A
Bappa
Mustafa
M
Ahmad
Fuad
F
AlShaebi
D064591:Allografts; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D007668:Kidney / Q000382:microbiology* / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D012867:Skin / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D040521:Subcutaneous Tissue / Q000382:microbiology*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents