- Author:
Jin Ju LEE
1
;
Yoon Jin CHOI
;
Ji Yeon BYUN
;
You Won CHOI
;
Joo Young ROH
;
Hae Young CHOI
Author Information
- Publication Type:Case Report
- From:The Ewha Medical Journal 2024;47(2):e29-
- CountryRepublic of Korea
- Language:English
- Abstract: Nontuberculous mycobacterial infections, which are often acquired from environmental sources such as water and soil, exhibit a variety of cutaneous manifestations that frequently lead to misdiagnoses and delays in treatment. A 77-year-old woman presented with multiple skin lesions in a sporotricoid distribution on her right leg, which persisted despite standard antibiotic treatments. Based on the skin biopsy, revealing granulomatous inflammation with acid-fast bacilli, and PCR testing, a nontuberculous mycobacterial infection was diagnosed. Antimycobacterial drug combinations, including clarithromycin, isoniazid, and rifampicin for 4 months, complete the skin lesion's clearance. This case underscores the need for heightened suspicion and the use of appropriate diagnostic techniques, including tissue biopsies and molecular methods such as PCR.