title: Rhinosinusitis and disseminated cutaneous infection caused by Mycobacterium chelonae in an immunocompromised patient.
abstract: Mycobacterium chelonae frequently involves the skin, and the disseminated form can be observed in immunocompromised patients. In contrast, rhinosinusitis caused by the bacterium is a rare manifestation, which occurs independently of immune status. We report here a rare case of M. chelonae infection presenting as both disseminated cutaneous infection and rhinosinusitis in an immunocompromised patient. He had received systemic corticosteroids for 11 months due to cryptogenic organizing pneumonia. Before admission, he sustained injuries to his left arm and hand; those injuries succumbed to an infection that would subsequently spread to his other limbs, face, and even nasal cavities. This valuable case suggests that disseminated cutaneous infection by M. chelonae could spread to other organs.
authors.affiliation: Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan; Second Department of Internal Medicine, Hamamatsu University School of Medicine, Japan. Electronic address: yasuyasuyasu29@yahoo.co.jp.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Enomoto
authors.affiliation: Department of Dermatology, Seirei Mikatahara General Hospital, Japan.
authors.forename: Misao
authors.initials: M
authors.lastname: Oba
authors.affiliation: Leprosy Research Center, National Institute of Infectious Diseases, Japan.
authors.forename: Norihisa
authors.initials: N
authors.lastname: Ishii
authors.affiliation: Leprosy Research Center, National Institute of Infectious Diseases, Japan.
authors.forename: Kazue
authors.initials: K
authors.lastname: Nakanaga
authors.affiliation: Department of Otorhinolaryngology, Seirei Mikatahara General Hospital, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yagi
authors.affiliation: Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Hasegawa
authors.affiliation: Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ozawa
authors.affiliation: Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsui
authors.affiliation: Department of Respiratory Medicine, Respiratory Disease Center, Seirei Mikatahara General Hospital, Japan.
authors.forename: Koshi
authors.initials: K
authors.lastname: Yokomura
authors.affiliation: Second Department of Internal Medicine, Hamamatsu University School of Medicine, Japan.
authors.forename: Takafumi
authors.initials: T
authors.lastname: Suda
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D015523:Maxillary Sinusitis / Q000382:microbiology*; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000188:drug therapy; D016926:Mycobacterium chelonae; D012220:Rhinitis / Q000382:microbiology*; D017192:Skin Diseases, Bacterial / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Disseminated cutaneous infection; Mycobacterium chelonae; Rhinosinusitis