Abstract
Introduction:
Mycobacterium chelonae is an ubiquitous mycobacterium which is exceptionally pathogenic. It can cause localized skin infections which are difficult to treat because of multiple drug-resistance.
Case report:
A 87-year-old woman with bullous pemphigoid was treated with long-term prednisone and developed a skin infection due to M. Chelonae. Treatment with clarithromycin was successful, but relapse occurred 6 months after withdrawal of the antibiotic.
Discussion:
Clarithromycin is effective in single drug regimen for M. Chelonae infection, but the duration of treatment should be long when immunosuppression cannot be avoided.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Aged
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Aged, 80 and over
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Anti-Bacterial Agents / therapeutic use
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Clarithromycin / therapeutic use
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Female
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Glucocorticoids / therapeutic use
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Humans
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Immunocompromised Host
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Leg Dermatoses / drug therapy
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Leg Dermatoses / etiology*
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Mycobacterium Infections, Nontuberculous / complications*
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Mycobacterium Infections, Nontuberculous / drug therapy
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Mycobacterium Infections, Nontuberculous / microbiology
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Mycobacterium chelonae*
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Pemphigoid, Bullous / complications
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Pemphigoid, Bullous / drug therapy
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Prednisone / therapeutic use
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Skin Diseases, Infectious / drug therapy
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Skin Diseases, Infectious / etiology*
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Skin Diseases, Infectious / microbiology
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Glucocorticoids
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Clarithromycin
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Prednisone