Mycobacterium mageritense에 의한 당뇨병성 족부 감염증 1예
A Case of Diabetic Foot Infection due to Mycobacterium mageritense
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Diabetic foot infection is one of the important complications in patients with advanced diabetes mellitus. Limb threatening infections such as osteomyelitis, abscess, and necrotizing fasciitis are frequently accompanied by the disease. Non-tuberculous mycobacterium (NTM) is a rare causative organism of diabetic foot infection. Thus, if one is not suspicious or meticulous, infection due to NTM will be easily overlooked and this will result in delayed diagnose and treat. Therefore, it is necessary to consider NTM as the causative organism if the wound does not respond to the conventional antibiotic treatment and the culture from the adequately obtained specimen reveals atypical acid-fast bacilli. We present a case of diabetic foot infection with osteomyelitis and abscess due to Mycobacterium mageritense, one of the rapid growing mycobacteria, that was successfully treated with surgical debridement and appropriate antibiotic treatment.
Abstract
Diabetic foot infection is one of the important complications in patients with advanced diabetes mellitus. Limb threatening infections such as osteomyelitis, abscess, and necrotizing fasciitis are frequently accompanied by the disease. Non-tuberculous mycobacterium (NTM) is a rare causative organism of diabetic foot infection. Thus, if one is not suspicious or meticulous, infection due to NTM will be easily overlooked and this will result in delayed diagnose and treat. Therefore, it is necessary to consider NTM as the causative organism if the wound does not respond to the conventional antibiotic treatment and the culture from the adequately obtained specimen reveals atypical acid-fast bacilli. We present a case of diabetic foot infection with osteomyelitis and abscess due to Mycobacterium mageritense, one of the rapid growing mycobacteria, that was successfully treated with surgical debridement and appropriate antibiotic treatment.
참고문헌 (15)
- Abbott CA, "North-West Diabetes Foot Care Study. The North- West Diabetes Foot Care Study: incidence of, and risk factors for, new diabetic foot ulceration in a community-based patient cohort", Diabet Med, 19, pp.377~384 (2002)
- Kim JM, "A clinical study on the diabetic foot lesions", J Korean Diabetes Assoc, 17, pp.387~394 (1993)
- Lipsky BA, "Infectious Diseases Society of America. Diagnosis and treatment of diabetic foot infections", Clin Infect Dis, 39, pp.885~910 (2004)
- Park JY, "A case of sporotrichoid cutaneuos infection caused by Mycobacterium marinum", Infect Chemother, 38, pp.169~173 (2006)
- Wallace RJ Jr, "Spectrum of disease due to rapidly growing mycobacteria", Rev Infect Dis, 5, pp.657~679 (1983)
- Kim YS, "A case of skin and soft tissue infection caused by Mycobacterium abscessus", Korean J Infect Dis, 32, pp.64~68 (2000)
- Park CM, "Isolation of nontuberculous mycobacteria using polymerase chain reaction-restriction fragment length polymorphism", Korean J Lab Med, 26, pp.161~167 (2006)
- O'Brien DP, "Nontuberculous mycobacterial disease in northern Australia: a case series and review of the literature", Clin Infect Dis, 31, pp.958~967 (2000)
- Henry MT, "Nontuberculous mycobacteria in non-HIV patients: epidemiology, treatment and response", Eur Respir J, 23, pp.741~746 (2004)
- Esteban J, "Clinical significance and epidemiology of non-pigmented rapidly growing mycobacteria in a university hospital", J Infect, 54, pp.135~145 (2007)
- Wallace RJ Jr, "Clinical and laboratory features of Mycobacterium mageritense", J Clin Microbiol, 40, pp.2930~2935 (2002)
- Park YM, "A case of scrofuloderma caused by Mycobacterium fortuitum", Korean J Infect Dis, 31, pp.171~175 (1999)
- Jeon SJ, "A case of cutaneous infection due to Mycobacterium fortultum", Korean J Dermatol, 29, pp.640~646 (1991)
- Griffith DE, "ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America. An official ATS", IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases, 2007, pp.175, 367~416
- Nash KA, "Intrinsic macrolide resistance in rapidly growing mycobacteria", Antimicrob Agents Chemother, 50, pp.3476~3478 (2006)