Mycobacterium fortuitum skin infections after subcutaneous injections with Vietnamese traditional medicine: a case report.

Autor: Lan NP; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. lannph@oucru.org.; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. lannph@oucru.org., Kolader ME; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. mkolader@gmail.com.; Academic Medical Center Amsterdam, Amsterdam, The Netherlands. mkolader@gmail.com., Van Dung N; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. vdnadung@gmail.com.; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. vdnadung@gmail.com.; University of Edinburgh, Scotland, UK. vdnadung@gmail.com., Campbell JI; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. jcampbell@oucru.org.; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. jcampbell@oucru.org.; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, UK. jcampbell@oucru.org., Tham NT; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. thamnt82@gmail.com.; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. thamnt82@gmail.com., Chau NV; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. chaunvv@oucru.org., van Doorn HR; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. rvandoorn@oucru.org.; Oxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, 764 Vo Van Kiet, Quan 5, Ho Chi Minh, Vietnam. rvandoorn@oucru.org.; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, UK. rvandoorn@oucru.org., Le DH; The Hospital for Tropical Diseases, Ho Chi Minh, Vietnam. ledienhoa@yahoo.com.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2014 Nov 11; Vol. 14, pp. 550. Date of Electronic Publication: 2014 Nov 11.
DOI: 10.1186/s12879-014-0550-z
Abstrakt: Background: Iatrogenic skin and soft tissue infections by rapidly growing mycobacteria are described with increasing frequency, especially among immunocompromised patients.
Case Presentation: Here, we present an immunocompetent patient with extensive Mycobacterium fortuitum skin and soft tissue infections after subcutaneous injections to relieve joint pains by a Vietnamese traditional medicine practitioner. Moreover, we present dilemmas faced in less resourceful settings, influencing patient management.
Conclusion: This case illustrates the pathogenic potential of rapid growing mycobacteria in medical or non-medical skin penetrating procedures, their world-wide distribution and demonstrates the dilemmas faced in settings with fewer resources.
Databáze: MEDLINE