Mybacterium chelonae Infection Occurring at the Site of Bee Sting Therapy.
- Author:
Woo Haing SHIM
1
;
Hyun Je PARK
;
Hoon Soo KIM
;
Hyun Woo CHIN
;
Su Han KIM
;
Hyun Chang KO
;
Byung Soo KIM
;
Moon Bum KIM
;
Kyung Sool KWON
Author Information
1. Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. volland@naver.com
- Publication Type:Case Report
- Keywords:
Atypical mycobacterium;
Bee sting;
Mycobacterium chelonae
- MeSH:
Arm;
Bees;
Bites and Stings;
Clarithromycin;
Doxycycline;
Eosinophils;
Giant Cells;
Histiocytes;
Humans;
Lymphocytes;
Middle Aged;
Mycobacterium chelonae;
Neutrophils;
Nontuberculous Mycobacteria;
Soil
- From:Korean Journal of Dermatology
2011;49(4):374-378
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mycobacterium chelonae is a rapidly growing atypical mycobacterium found in soil and water. In a healthy person, it causes cutaneous infection after an invasive procedure or surgery. Herein, we present a case of a 52-year-old man with multiple erythematous plaques and nodules on the back and left arm, and these occurred at the site of bee sting therapy by a herbal medical doctor. The histologic findings showed a granulomatous infiltration composed of numerous neutrophils, lymphocytes, eosinophils, histiocytes and multinucleated giant cells. Acid fast bacilli were detected by Ziehl-Neelsen stain and Mycobacterium chelonae infection was confirmed by an INNO-LiPA mycobacteria kit. The patient was treated with 1 g of clarithromycin and 200 mg of doxycycline for 6 months and his condition improved considerably.
