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Ann Geriatr Med Res  <  Volume (); 1999 <  Articles

Annals of Geriatric Medicine and Research  
Mycobacterium abscessus Skin Infection Associated with Shaving Activity in a 75-year-old man
Hoon Choi, Yong Il Kim, Chan Ho Na, Min Sung Kim, Bong Seok Shin
Department of Dermatology, Chosun University of Medicine, Gwangju, Korea
Correspondence to: Bong Seok Shin, MD, PhD
https://orcid.org/0000-0001-9618-1763
Department of Dermatology, Chosun University Hospital, 365 Pilmundaero, Gwangju 61453, Korea
Tel: +82-62-220-3130
Fax: +82-62-222-3215
E-mail: derm75@chosun.ac.kr
Received: August 30, 2018; Revised: November 4, 2018; Accepted: November 5, 2018; Published online: December 26, 2018.
© The Korea Geriatrics Society. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Mycobacterium abscessus comprises rapidly growing mycobacteria, and the clinical manifestations of M. abscessus skin infection include papule, nodule, ulcer, scar and mixed form. The cutaneous infections have been reported due to minor trauma, cosmetic therapy, acupuncture and disseminated infection. A 75-year-old man presented with pruritic diffuse various sized erythematous papuloplaques and pustules on the neck and chest for 2 months. The cutaneous lesions were spread around the wound of the shaving on the neck. The histopathologic findings were consistent with abscess showing infiltrations of neutrophils and lymphocytes in the dermis and negative findings were observed on immunohistochemical stain including acid-fast bacilli stain. One month later, mycobacterial culture result showed positive findings, and the pathogen was identified by reverse-transcriptase polymerase chain reaction with hybridization. The patient was treated with combination of clarithromycin and ethambutol for 5 months and there is no evidence of recurrence after 6 months of follow-up. Herein, we report a case of M. abscessus cutaneous infection through minor trauma caused by shaving in the elderly.
Keywords: Mycobacterium abscessus , Elderly


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