title: Disseminated cutaneous atypical mycobacteriosis by M. chelonae after sclerotherapy of varicose veins in a immunocompetent patient: a case report.
abstract: Atypical mycobacteria are saprophytic organisms not transmitted from person to person, which affect mainly immunosuppressed but also immunocompetent individuals. We present a case of atypical mycobacteriosis after a vascular procedure, with widespread cutaneous lesions associated with polyarthralgia. Mycobacterium chelonae was identified by the polymerase chain reaction (PCR) method. The patient showed improvement after treatment with three antibiotics. Mycobacterium chelonae causes skin lesions after invasive procedures. The clinical form depends on the immune state of the host and on the entry points. The diagnosis is based essentially on culture and the mycobacteria is identified by PCR. We highlight the importance of investigating atypical mycobacteriosis when faced with granulomatous lesions associated with a history of invasive procedures.
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Nathalia Dias Negrão
authors: ND
authors: Murback
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Minoru German
authors: MG
authors: Higa Júnior
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Maurício Antônio
authors: MA
authors: Pompílio
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Eunice Stella Jardim
authors: ES
authors: Cury
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Gunter
authors: G
authors: Hans Filho
authors: Federal University of Mato Grosso do Sul, Campo Grande, MS, BR.
authors: Luiz Carlos
authors: LC
authors: Takita
mesh_terms: D005260:Female; D006801:Humans; D007121:Immunocompetence / Q000276:immunology*; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000000981:diagnostic imaging / Q000276:immunology*; D016926:Mycobacterium chelonae; D016133:Polymerase Chain Reaction; D011877:Radionuclide Imaging; D015911:Sclerotherapy / Q000009:adverse effects*; D017192:Skin Diseases, Bacterial / Q000000981:diagnostic imaging / Q000276:immunology*; D014648:Varicose Veins / Q000188:drug therapy*