A Case of Mycobacterium kansasii Cutaneous Infection in a HeartTransplant Recipient

심장이식 수술 후 발생한 Mycobacterium kansasii 피부감염 1예

  • Park, Hyun-Jung (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yu, Hoon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Sang-Ho (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sung, Heung-Sup (Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Joon-Pio (Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Jae-Joong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Sang-Oh (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 박현정 (울산대학교 의과대학 서울아산병원 내과) ;
  • 유훈 (울산대학교 의과대학 서울아산병원 내과) ;
  • 최상호 (울산대학교 의과대학 서울아산병원 내과) ;
  • 성흥섭 (울산대학교 의과대학 서울아산병원 진단검사의학과) ;
  • 홍준표 (울산대학교 의과대학 서울아산병원 성형외과) ;
  • 김재중 (울산대학교 의과대학 서울아산병원 내과) ;
  • 이상오 (울산대학교 의과대학 서울아산병원 내과)
  • Published : 2011.07.01

Abstract

Mycobacterium kansasii is a slow-growing, nontuberculous mycobacterium (NTM) that primarily affects lung tissue. Cutaneous infection with M. kansasii has not been reported previously in heart transplant recipients in Korea. We report a case of cutaneous infection caused by M. kansasii in a heart transplant recipient. The patient was treated successfully for 18 months with ciprofloxacin, clarithromycin, ethambutol, and rifampin.

M. kansasii는 천천히 자라는 비결핵성 항산균(slow-growing mycobacteria)으로 대부분 천천히 진행하는 폐질환을 일으키고, 피부와 파종성 감염은 드물게 일어나는데 면역저하자에서 주로 발생한다. 아직까지 우리나라에서는 심장이식 환자에서 M. kansasii 피부감염증 보고가 없었다. 본 저자들은 심장 이식 후 발생한 M. kansasii의 피부 감염증의 1예를 경험 하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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