Abstract
Nontuberculous mycobacteria (NTM), a human skin commensal, generally has poor in-vitro susceptibility to standard antituberculous drugs, and surgery is recommended for head and neck infection, but recently studies indicate that combining antibiotics in treating mycobacterial infections helps to avoid drug resistance. In the only case reported thus far to our knowledge, we found positive results in conservative treatment (using clarithromycin) alone in NTM. A 3-year-old boy with left parotid gland swelling despite two week antibiotic treatment was found in computed tomography (CT) and ultrasonography (US) to have a parotid tumor and granulomatous inflammation. Follow up after four-week clarithromycin administration showed that the mass had disappeared completely. In conclusion, NTM lymphadenitis is treatable using clarithromycin only.
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