Mycobacterium marinum infection causing extensive tissue destruction in a hypoxic COPD patient.

Abstract:

:We report a skin Mycobacterium marinum infection presenting as wide ulcerative lesions of the arm (4 cm for the widest) in a hypoxic COPD patient who takes 4 mg methylprednisolone daily and higher doses during exacerbations. Diagnostic delay as well as glucocorticoid use could be responsible for the extension of the lesions. Clinical resolution occurred after three months of antibiotic therapy. Extensive ulcerative lesions are uncommon in Mycobacterium marinum infection in an immunocompetent host. This case emphasizes the potential and unusual harmful effect of long-term glucocorticoid therapy used in obstructive lung disease on the spread of Mycobacterium marinum infection.

journal_name

Acta Clin Belg

journal_title

Acta clinica Belgica

authors

Buttafuoco F,Peché R,Vander Elst B,Van Meerhaeghe A

doi

10.2143/ACB.66.4.2062576

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

315-7

issue

4

eissn

1784-3286

issn

2295-3337

journal_volume

66

pub_type

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