Case report: Dual Cutaneous Atypical Mycobacterium Infection After Tattooing

Authors

  • Rasthawathana Desomchoke Dermatology Department, Chulabhorn hospital, Chulabhorn Royal Academy
  • Rithee Smithrithee Dermatology Department, Chulabhorn hospital, Chulabhorn Royal Academy
  • Piyakan Limtanyakul Dermatology Department, Chulabhorn hospital, Chulabhorn Royal Academy

Keywords:

Atypical mycobacterium, Skin and soft tissue infection, Non-tuberculous mycobacteria, Skin infection

Abstract

A cutaneous atypical mycobacterium or non-tuberculous mycobacteria (NTM) infection commonly found in contaminated medical and cosmetic procedures such as amateur tattoos1. The main route of infection is caused by the direct inoculation of Mycobacterium spp. during the procedure. The clinical presentations of this infection have many patterns which could lead to a misdiagnosis. Microbaterial studies such as tissue culture and drug susceptibility are essential clues for both definite diagnosis and treatment. Multi-antimicrobial agents are required to treat this infection with a long period of treatment to be cured. We report an unusual dual NTMs infection in an otherwise healthy person who had tattoos.

Downloads

Download data is not yet available.

References

Falsey RR, Kinzer MH, Hurst S, Kalus A, Pottinger PS, Duchin JS, Zhang J, Noble-Wang J, Shinohara MM. Cutaneous inoculation of nontuberculous mycobacteria during professional tattooing: a case series and epidemiologic study. Clin Infect Dis. 2013;57: e143-e147.

Centers for Disease Control and Prevention (CDC). Tattoo-associated nontuberculous mycobacterial skin infections--multiple states, 2011-2012. MMWR Morb Mortal Wkly Rep. 2012; 61:653-6.

Drage LA, Ecker PM, Orenstein R, Phillips PK, Edson RS. An outbreak of Mycobacterium chelonae infections in tattoos. J Am Acad Dermatol. 2010; 62:501-506.

Safranek TJ, Jarvis WR, Carson LA, Cusick LB, Bland LA, Swenson JM, Silcox VA. Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution. N Engl J Med. 1987; 317:197-201.

Kim YN, Kim KM, Choi HN, Lee JH, Park HS, Jang KY, Moon WS, Kang MJ, Lee DG, Chung MJ. Clinical Usefulness of PCR for Differential Diagnosis of Tuberculosis and Nontuberculous Mycobacterial Infection in Paraffin-Embedded Lung Tissues. J Mol Diagn. 2015; 17:597-604.

Hsiao Ch, Tsai TF, Hsueh PR. Characteristics of skin and soft tissue infection caused by non-tuberculous mycobacteria in Taiwan. Int J Tuberc Lung Dis. 2011; 15:811-817.

Dodiuk-Gad R, Dyachenko P, Ziv M, Shani-Adir A, Oren Y, Mendelovici S, Shafer J, Chazan B, Raz R, Keness Y, Rozenman D. Nontuberculous mycobacterial infections of the skin: A retrospective study of 25 cases. J Am Acad Dermatol. 2007; 57:413-420.

Uslan DZ, Kowalski TJ, Wengenack NL, Virk A, Wilson JW. Skin and soft tissue infections due to rapidly growing mycobacteria: comparison of clinical features, treatment, and susceptibility. Arch Dermatol. 2006; 142:1287-1292.

Kasperbauer S, Huitt G. Management of extrapulmonary nontuberculous mycobacterial infections. Semin Respir Crit Care Med. 2013; 34:143-150.

Downloads

Published

2022-04-01

How to Cite

1.
Desomchoke R, Smithrithee R, Limtanyakul P. Case report: Dual Cutaneous Atypical Mycobacterium Infection After Tattooing. J Chulabhorn Royal Acad [Internet]. 2022 Apr. 1 [cited 2024 Nov. 24];4(2):91-4. Available from: https://he02.tci-thaijo.org/index.php/jcra/article/view/254544

Issue

Section

Academic Articles