Back issues No.3 - 1987 / Case Report  

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Cutaneous Infection of Group IV Mycobacteria -- A Case Report and Review of the Literature
Feng-Sheau Lii, Heng-Leong Chan, Yue-Zon Kuan, Tseng-Tong Kuo, Ann-Ming Wang
Dermatol Sinica 5: 189-198, 1987

Group IV mycobacteria are saprophytes found in the environment, which rarely cause significant infection of human. A case of primary cutaneous infection is reported and the literature is reviewed. The patient, a 50-year-old female with iatrogenic Cushing's syndrome, developed skin lesions on her left leg following a trauma to her left lower leg. The eruptions manifestated as cellulitis and lymphocutaneous sporotrichoid appearance. The diagnosis of group IV mycobacterial infection was established by culture isolation and identification. The patient failed to respond to the combination antibiotics regimen, but the lesions showed tendency of spontaneous healing. The isolate showed resistance to most antimicrobial agents on the susceptibility test.

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