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CASE REPORT
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 31-33

Multiple nontuberculous scrofulodermas showing dramatic response to clarithromycin


1 Department of Dermatology, Thanjavur Medical College, Thanjavur, Tamil Nadu, India
2 Department of Microbiology, Thanjavur Medical College, Thanjavur, Tamil Nadu, India

Correspondence Address:
Dr. Kumar Parimalam
New No. 4/1, East Ellaiamman Koil Street, Thiruvottiyur, Chennai - 600 019, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.148932

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Atypical mycobacteria are distinct from the Mycobacterium tuberculosis. Mycobacterium chelonae, a non-pigment producing rapid grower, can be found in many cutaneous sites; infection occurs most commonly after skin trauma from surgery, injections, or minor injuries. In immune competent patients, the infection is more frequently localized as a cellulitis or a nodule, whereas, in the immunocompromised patient, dissemination (more than five lesions) can occur. Because the organism is resistant to antituberculous therapy, abscess can develop and follow a chronic, indolent course. We report a case of multiple scrofuloderma due to nontuberculous infection caused by M. chelonae showing dramatic response to clarithromycin.


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