We report a case of Mycobacterium fortuitum infection of the face and abdomen in a 25 years old man following cosmetic autologous fat injection. The goal of this manuscript is to increase awareness and suspicion of such as atypical mycobacterial infections complicating liposuction and fat injection. The clinical presentation, laboratory studies utilizing acid-fast stains and cultures, prevention and treatment including surgical debridement, and pharmacologic regimens in the ultimate diagnosis for Mycobacterium fortuitum infections are discussed.
Abdomen ; Coloring Agents ; Cosmetics ; Debridement ; Lipectomy ; Mycobacterium ; Mycobacterium fortuitum

Rapidly growing mycobacteria are ubiquitous in the environment and are increasingly being recognized as opportunistic pathogens. Recently, a new species, Mycobacteium conceptionense, has been validated from the Mycobacterium fortuitum third biovariant complex by molecular analysis. However, there are few reports, and postsurgical wound infection by this species is rare. We report a case of postsurgical wound infection caused by M. conceptionense in an immunocompetent patient that was identified by a sequencing analysis of 16S rRNA, hps65, and rpoB genes.
Humans ; Mycobacterium fortuitum ; Mycobacterium* ; Wound Infection* ; Wounds and Injuries*

Managing chronic cough is diagnostically challenging especially in primary care. This case report highlights the difficulties experienced in approaching a case of chronic cough from a primary care perspective. The discussion also involves the clinical significance and treatment dilemma of M. fortuitum chelonae complex that was isolated from the sputum cultures of an elderly woman who presented with chronic cough for more than a year.
Mycobacterium Infections, Nontuberculous ; Mycobacterium fortuitum ; Primary Health Care

Mycobacterium (M.) fortuitum is a rapidly growing mycobacterium of Runyon's group IV. It is frequently found in water, soil and dust. Although being rarely pathogenic, M. fortuitum can cause soft tissue and skeletal infections through direct inoculation occurring in surgery or penetrating trauma. We report a case of cutaneous infection due to M. fortuitum which occurred in a 56-year-old female who had worked at a public bath. She had received a small injury to her right thigh, and thereafter an erythematous, indurated, tender plaque and small peripheral papules had developed at the injury site. The culture from the skin biopsy specimen on Ogawa medium yielded colonies after 7 days. The microorganism was subsequently identified as M. fortuitum by PCR-restriction fragment length polymorphism analysis. The skin lesions were improved by antibiotic therapy with minocycline and ciprofloxacin.
Baths ; Biopsy ; Ciprofloxacin ; Dust ; Female ; Humans ; Middle Aged ; Minocycline ; Mycobacterium fortuitum* ; Mycobacterium* ; Skin ; Soil ; Thigh

Mycobacterium (M.) fortuitum is a rapidly growing mycobacterium. It is classified as Runyon's group IV with M. abcessus and M. chelonae that are mostly found in water and soil. M. fortuitum infection usually occurs after trauma, surgery or procedures such as acupuncture that cause cutaneous or soft tissue manifestations. We report a case of cutaneous infection due to M. fortuitum in a 72-year-old woman with erythematous deep-seated nodules on her left hand. She inflicted a minor injury to her left hand in a farm. Culture from skin biopsy specimens on 3% Ogawa medium yielded bacterial colonies after 5 days. The microorganism was subsequently identified as M. fortuitum by PCR-restriction fragment length polymorphism analysis. The skin lesions were improved by antibiotic therapy with clarithromycin for 6 months.
Acupuncture ; Aged ; Biopsy ; Clarithromycin ; Female ; Hand ; Humans ; Mycobacterium ; Mycobacterium fortuitum ; Skin ; Soil

We report a case of Mycobacterium(M.) fortuitum infection in a 65-year-old female who presented with erythematous to purplish colored tender nodules and plaques with curst and purulent discharge on both upper and lower extremities along the sites of acupuncture. The culture of surgically excised specimen in 3% Ogawa media yielded slightly yellowish colored colonies within 2 days. Several tests for identification of the species were performed and growth on 5% NaCl, negative niacin test, positive results in nitrate reduction, catalase, urease and iron uptake tests were noted. Excision of the lesions followed by administration of minocycline and ciprofloxacin showed no sign of relapse to data a year after treatment.
Acupuncture* ; Aged ; Catalase ; Ciprofloxacin ; Female ; Humans ; Iron ; Lower Extremity ; Minocycline ; Mycobacterium fortuitum* ; Mycobacterium* ; Niacin ; Recurrence ; Urease

PURPOSE: To report a case of Mycobacterium fortuitum keratitis which occurred in the interface between the corneal stromal bed and flap after laser in situ keratomileusis (LASIK). RESULTS: Forty five year old female patient presented with clinical picture of keratitis 20 days after LASIK. The keratitis started with one soft round colony in the interface between the corneal stromal bed and the flap and, then progressed slowly with crystal shaped colonies. The keratitis worsened after removal of colonies showing partially method flap. Inflammation was controlled only after removal of the partially melted flap and with intensive medical treatment. Mycobacterium fortuitum keratitis was confirmed 2 months later by culture of the excised flap tissue. The patient's corrected visual acuity improved to 20/400 at 6 months after treatment. CONCLUSIONS: Mycobacterium fortuitum should be considered as one of the causes of keratitis manifesting white colonies after LASIK. The characteristics of the colonies may change during the course of the disease. Vigorous work-up should be considered for early identification of the organism.
Cornea* ; Female ; Humans ; Inflammation ; Keratitis* ; Keratomileusis, Laser In Situ* ; Mycobacterium fortuitum* ; Mycobacterium* ; Visual Acuity

Cutaneous mycobacterial infection can occur with Mycobacterium tube culosis or other mycobacterial agents. The commonest of the group IV rapidly growing mycobacteia Mycobacterium fortuitum, has widespread distribution in natur, and is an uncommon causative agent of human mycobacterial infection. We report herein a case of Mycobacterium fortuitum infection follcwiiig an antibiotics susceptibility test. This 24-year-old man suffered fram ulcerative itchy nodules on the left forearm where the antibiotics susceptibility test was don. The skin biopsy specimen revealedly. iphohistiocytic granulomatous infiltration in the dermis. Culture of the tissue specimen revealed rapicly growing yellowish colonies, which was isolated to Mycobacoterium fortuitum. Among 3 biovariants of M. fortuitum, our case was revealed to he biovariant fortuiiam: Surgical excision was performed followed by the administration of antiliiiitics, and no sign of relapse was noted until now, 1 year since.
Anti-Bacterial Agents* ; Biopsy ; Dermis ; Forearm ; Humans ; Mycobacterium fortuitum* ; Mycobacterium* ; Recurrence ; Skin ; Ulcer ; Young Adult

Mycobacterium fortuitum is a rare pathogen, frequently found in water, soil, animals and plant materials. It can cause infections involving skin, soft tissue and skeletal system after direct inoculation of the pathogen through surgical traumas, punctures and injections. We report a case of infrapatellar bursitis caused by M. fortuitum in an immunocompetent, 42-year-old female, which occurred after bicycle trauma. She experienced marked improvement after surgical excision and debridement of the wound site and antimicrobial therapy.
Adult ; Animals ; Bursitis ; Debridement ; Female ; Humans ; Mycobacterium ; Mycobacterium fortuitum ; Plants ; Punctures ; Skin ; Soil

Mycobacterium fortuitum is a rare pathogen, frequently found in water, soil, animals and plant materials. It can cause infections involving skin, soft tissue and skeletal system after direct inoculation of the pathogen through surgical traumas, punctures and injections. We report a case of infrapatellar bursitis caused by M. fortuitum in an immunocompetent, 42-year-old female, which occurred after bicycle trauma. She experienced marked improvement after surgical excision and debridement of the wound site and antimicrobial therapy.
Adult ; Animals ; Bursitis ; Debridement ; Female ; Humans ; Mycobacterium ; Mycobacterium fortuitum ; Plants ; Punctures ; Skin ; Soil