Mykobakterielle Erkrankungen
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Generalized Cutaneous Lesions Due to Mycobacterium abscessus: A Case Report

Rakesh Mahajan, Jyoti Chaudhary, Manpreet Bhalla and Megha Singhal

Introduction: Generalized cutaneous lesions caused by Mycobacterium abscessus have not been reported in immuno competent individuals.

Case presentation: We describe here a case of 13-year old male child who developed a non-healing sternal wound after being operated upon for atrial septal defect surgery. Routine pyogenic and fungal cultures were negative. The wound did not clear with repeated courses of antibiotics. The continued serosanguinous discharge from the wound site ultimately progressed to generalized pustular non-healing lesions possibly through secondary bacteremia. Pustular pus showed acid-fast bacilli in Ziehl-Neelsen staining and grew Nontuberculous Mycobacteria on conventional LJ Medium and rapid MGIT medium. The NTM isolated was identified as M. abscessus through culture characters, biochemical testing, PCR and DNA fingerprinting technique. Treatment with multiple drugs helped in clearing of the skin pustular lesions.

Conclusion: This case of generalized lesions by abscessus infection appears to be the first ever reported finding.