Abstract
Lymphadenitis caused by non-tuberculous mycobacteria is an uncommon manifestation in immunocompetent individuals. Here, we report a case of Mycobacterium fortuitum infection in a previously healthy 9-year-old patient who developed cervical lymphadenitis evolving to a suppurative ulcer associated with a varicella-zoster virus infection. We discuss the relationship between the varicella-zoster virus and the immune response of the host as an explanation for the unusual progression of the case.
Highlights
ABStRACt Lymphadenitis caused by non-tuberculous mycobacteria is an uncommon manifestation in immunocompetent individuals
Non-tuberculous mycobacteria (NTM) are ubiquitous organisms found in soil and water[1,2]
One of the species associated with lymphadenitis is Mycobacterium fortuitum, an intracellular parasite of fast growth resulting in a lesion that may evolve to a fistula and to an ulcer
Summary
ABStRACt Lymphadenitis caused by non-tuberculous mycobacteria is an uncommon manifestation in immunocompetent individuals. One of the species associated with lymphadenitis is Mycobacterium fortuitum, an intracellular parasite of fast growth resulting in a lesion that may evolve to a fistula and to an ulcer. A 9-year-old girl presented with palpable lymphadenomegaly on her left cervical region for approximately the previous 50 days, fever during the initial few days, and without any other systemic manifestations.
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