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- Title
Cutaneous Mycobacterium haemophilum infection in a kidney transplant recipient after acupuncture treatment.
- Authors
Castro-Silva, A. N.; Freire, A. O.; Grinbaum, R. S.; Elmor de Araújo, M. R.; Abensur, H.; Araújo, M. R. T.; Romão, J. E.; Sampaio, J. L. M.; Noronha, I. L.
- Abstract
A.N. Castro-Silva, A.O. Freire, R.S. Grinbaum, M.R. Elmor de Araújo, H. Abensur, M.R.T. Araújo, J.E. Romão Jr, J.L.M. Sampaio, I.L. Noronha. Cutaneous Mycobacterium haemophilum infection in a kidney transplant recipient after acupuncture treatment. Transpl Infect Dis 2011: 33-37. All rights reserved Mycobacterium haemophilum is a slow-growing nontuberculous mycobacterium that can cause disease in both immunocompetent and immunocompromised patients. The most common clinical presentations of infection are the appearance of suppurative and ulcerated skin nodules. For the diagnosis, samples collected from suspected cases must be processed under the appropriate conditions, because M. haemophilum requires lower incubation temperatures and iron supplementation in order to grow in culture. In this case report, we describe the occurrence of skin lesions in a kidney transplant recipient, caused by M. haemophilum, associated with acupuncture treatment. The diagnosis was established by direct smear and culture of material aspirated from cutaneous lesions. Species identification was achieved by characterization of the growth requirements and by partial sequencing of the hsp65 gene. The patient was successfully treated with clarithromycin and ciprofloxacin for 12 months. Considering that the number of patients receiving acupuncture treatment is widely increasing, the implications of this potential complication should be recognized, particularly in immunosuppressed patients.
- Subjects
CASE studies; KIDNEY transplantation; ACUPUNCTURE; KIDNEY disease diagnosis; MYCOBACTERIAL diseases
- Publication
Transplant Infectious Disease, 2011, Vol 13, Issue 1, p33
- ISSN
1398-2273
- Publication type
Article
- DOI
10.1111/j.1399-3062.2010.00522.x