The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Skin and Soft Tissue Infection by Mycobacterium massiliense

Mycobacterium massiliense 피부연조직 감염에서 완치한 1예

  • Kim, Tae Hoon (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Ji Hyun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Jin, Sung Joon (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Ki Hyun (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cheon, Jae Young (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yoon, Hong Jin (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Young Goo (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 김태훈 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 윤지현 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 진성준 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 김기현 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 천재영 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 윤홍진 (연세대학교 의과대학 강남세브란스병원 내과) ;
  • 송영구 (연세대학교 의과대학 강남세브란스병원 내과)
  • Received : 2013.09.05
  • Accepted : 2013.12.27
  • Published : 2014.10.01
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Abstract

Mycobacterium massiliense (M. massiliense) was identified recently as a species that separated from M. abscessus. Unlike M. abscessus, M. massiliense responds well to clarithromycin-based antibiotic treatment. Many cases of M. massiliense infections related to iatrogenic procedures have been reported. We report a case of skin and soft tissue infection by M. massiliense, which was not caused by medical appliances, that was treated successfully using clarithromycin monotherapy for -6 months after initial treatment with empirical antibiotics for 4 weeks.

평소 건강하고 어떠한 시술도 받지 않은 34세 여성이 산행 후 우측 경골 앞쪽 피부에 염증 병변 발생하여 검사를 시행 받고 M. massiliense 감염으로 진단받았다. 감수성 결과를 확인 후 6개월간 clarithromycin 단독요법으로 성공적으로 치료하였기에 보고하고자 한다.

Keywords

References

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