Mycobacterium abscessus에 의한 피부 및 연조직 감염 1예
- Author(s)
- 류남희; 이원목; 하정숙; 전동석; 김재룡; 손대구; 김신우
- Keimyung Author(s)
- Ryoo, Nam Hee; Lee, Won Mok; Ha, Jung Sook; Jeon, Dong Seok; Kim, Jae Ryong; Son, Dae Gu
- Department
- Dept. of Laboratory Medicine (진단검사의학)
Dept. of Plastic Surgery (성형외과학)
- Journal Title
- 대한임상미생물학회지
- Issued Date
- 2005
- Volume
- 8
- Issue
- 2
- Keyword
- Mycobacterium abscessus; Skin infection; PCR-restriction fragment length polymorphism
- Abstract
- A 36-year-old female who initially presented with a small erythematous and swollen abscess on
her left anterior tibial area was found out to have a cutaneous Mycobacterium abscessus infection.
She was first treated with incision and drainage, dressing, and antibiotics. The lesion began to be
aggravated and dispersed. Neither aerobic nor anaerobic bacteria was grown on blood agar plate.
After a few weeks, Mycobacterium grew on Ogawa media after 6 days, and was identified as M.
abscessus by PCR-restriction fragment length polymorphism. She was then treated with clarithromycin,
levofloxacin, and amikacin, and the skin lesion was resolved without further recurrence.
36세 여성의 왼쪽 앞쪽 경골부에 작고 붉은 부종성 피부 농양이 발생하였다. 지속적인 소독과 항균제 치
료에도 불구하고 차츰 병변부위는 악화되었다. 일반 배양검사상 혈액한천배지에서 음성소견을 보였으나,
이 후 실시된 항산성도말검사결과 붉은 색의 간균이 관찰되고 결핵분리배양검사 결과 6일째 마이코박테
리아균이 자랐다. PCR-RFLP법을 이용한 동정결과 M. abscessus로 확인되었다. Clarithromycin, levofloxacin
과 amikacin으로 치료를 시작하여 재발없이 호전을 보였기에 문헌고찰과 함께 보고하는 바이다.
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