초록
비결핵항산균은 결핵균과 나병균을 제외한 항산균을 말하며 최근 우리나라에서 감염률이 점차 증가하고 있어 그 중요성이 크게 대두되고 있는 상황이다. 이들 중 M. abscessus는 대표적인 신속발육군으로 피부, 연조직, 골감염을 흔히 유발한다. 본 증례에서는 상습적으로 침술과 같은 침습적 시술을 시행받고 나서 발생한 M. abscessus척추 골수염 환자에게 항생제 병합치료와 광범위 수술적 처치를 시행하여 완치를 경험하였다.
The designation nontuberculous mycobacteria (NTM) applies to mycobacterial species other than organisms of the Mycobacterium tuberculosis complex and Mycobacterium leprae. In recent decades, the prevalence of human disease caused by NTM has increased; thus, the clinical significance of NTM is increasing. Mycobacterium abscessus is a rapidly growing nontuberculous mycobacterial species that is usually associated with chronic pulmonary disease, posttraumatic soft-tissue infections, nosocomial bloodstream infections, wound infections, and abscesses at the site of prior intramuscular injections; however, vertebral osteomyelitis due to this species is rare. Here, we present a case of vertebral osteomyelitis due to M. abscessus that occurred in a patient with iatrogenic Cushing's syndrome and a history of acupuncture who was treated with wide surgical excision and prolonged combined antibiotic treatment.