Abstract
Skin and soft tissue infections (SSTIs) with Nontuberculous Mycobacteria (NTMs) are increasingly encountered in recent times. We describe a case of a chronic non-healing ulcer on the foot of a young immunocompetent lady caused by Mycobacterium simiae. The diagnostic approach and successful management of the case have been reviewed. This is probably the first case report SSTI due to M. simiae from India.
Highlights
Skin and soft tissue infections (SSTIs) with Nontuberculous Mycobacteria (NTMs) are increasingly encountered in recent times
non-healing ulcer on the foot of a young immunocompetent lady caused by Mycobacterium simiae
The lesion started as a small nodule
Summary
Skin and soft tissue infections (SSTIs) with Nontuberculous Mycobacteria (NTMs) are increasingly encountered in recent times. A 28-year-old well nourished, healthy and educated lady (employee of a company), resident of Guntur, Andhra Pradesh, India, presented to the general Surgery out-patient clinic of Kamineni Hospitals, Hyderabad, Telangana State She complained of a chronic non-healing ulcer, over the past 6 months, on the dorsum of the right foot. With a clinical impression of a chronic non-healing infected ulcer, the lesion was debrided extensively. A heavy growth of Pseudomonas aeruginosa both on the 5% sheep Blood agar and MacConkey agar plates was observed the day This isolate was considered as a surface colonizer of the ulcer and was managed with topical polymyxin lotion. While on the MacConkey agar, very minute pale colonies were seen after 2 days Growth from both the plates was positive for acid fast bacilli by the ZN stain. The lesion healed completely with no recurrence (Figure 2) after 2 months
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