Abstract
A 69-year-old Japanese woman with untreated rheumatoid arthritis was hit on her left cheek by a tennis ball in November 20XX. Later, an ulcer gradually appeared on her left cheek. She presented to Komaki Municipal Hospital on September, 20(XX+1). Dermatological and histopathological findings are shown in Figures 1 and 2, respectively. The patient was administered topical and oral antifungal medications, however the ulcer region did not improve.
Highlights
A 69-year-old Japanese woman with untreated rheumatoid arthritis was hit on her left cheek by a tennis ball in November, 20XX
On January, 20(XX+2), white pustules appeared on the ulcer (Figure 3), and rapid growing mycobacteria were isolated from the pus
Whole genome sequencing of isolate and phylogenetic analysis were performed at the Leprosy Research Center National Institute of Infectious Diseases
Summary
This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Yu SANDO,[1] Hiroshi MORIOKA,[2] Kyoko SUGAWARA,[1] Yuki ARISAWA,[1] Hanako FUKANO,[3] Yoshihiko HOSHINO,[3 1] Department of Dermatology, Komaki Municipal hospital, Aichi, Japan 2 Department of Infectious Diseases, Nagoya University Hospital, Aichi, Japan、 3 Leprosy Research Center National Institute of Infectious Diseases *Correspondence to: Dr Kyoko Sugawara Department of Dermatology, Komaki Municipal hospital, Aichi, Japan、 Jyobushi Komaki-shi Aichi-ken 485-820, Japan PHONE:+81-568-76-4131 FAX:+81-568-76-4145 E-mail:kyokos.gml@gmail.com Key word:Mycolicibacterium mageritense, erm[39], Erythromycin methyltransferase 39, macrolide resistance, M. mageritense
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