Atypical presentation of atypical mycobacteria in atypical diabetes
| Autor: | Sugata Narayan Biswas, Partha Pratim Chakraborty, Partha Sarathi Satpathi, Shinjan Patra |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pathology
medicine.medical_specialty Mycobacterium chelonae 030209 endocrinology & metabolism Case Reports Microbiology 03 medical and health sciences fluids and secretions 0302 clinical medicine Clarithromycin medicine Subcutaneous abscess Leukocytosis Abscess biology business.industry bacterial infections and mycoses medicine.disease biology.organism_classification Infectious Diseases medicine.anatomical_structure Pulmonary aspiration 030228 respiratory system Abdomen Parasitology medicine.symptom business medicine.drug Subcutaneous tissue |
| Zdroj: | Oxford Medical Case Reports |
| ISSN: | 2053-8855 |
| DOI: | 10.1093/omcr/omw032 |
| Popis: | A 45-year-old, non-obese male presented with low-grade, remittent fever and a fluctuant swelling over the posterior aspect of his lower left flank. Laboratory tests revealed leukocytosis, raised ESR, hyperglycemia and raised HbA1C levels. Light microscopy of Ziehl–Neelsen-stained pus sample revealed numerous acid-fast bacilli. After 72 h of incubating aspirated pus in Löwenstein–Jensen media, non-pigmented, cream-colored colonies were observed, suggestive of rapid-growing atypical forms of mycobacteria. Polymerase chain reaction of isolated bacteria identified Mycobacterium chelonae as causative organism. Abdominal skiagram revealed extensive pancreatic intraductal calcifications suggestive of fibrocalculous pancreatic diabetes and lumbar vertebral body destruction with evidence of paravertebral abscess. The patient was prescribed a split-mixed insulin regimen, clarithromycin and ciprofloxacin with complete resolution of the subcutaneous abscess at 6 months. Diabetic patients are prone to infections. Mycobacteria, especially atypical ones, involving the spine and subcutaneous tissues have rarely been reported. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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