Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis
Author(s) -
Sarah Flohr,
Alban Ramette,
Philipp Agyeman,
Andrea Duppenthaler,
Cordula Scherer,
Peter M. Keller,
Christoph Aebi
Publication year - 2020
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofaa506
Subject(s) - mycobacterium chelonae , whole genome sequencing , medicine , microbiology and biotechnology , mycobacterium , genome , computational biology , virology , gene , genetics , biology , pathology , tuberculosis
Mycobacterium chelonae infections usually resolve with adequate therapy. We report the case of an adolescent with a chronic and progressive M chelonae infection refractory to combined antimicrobial and surgical therapy. Whole genome sequence analysis of consecutive isolates distinguished reinfection from recurrence and contributed to the diagnosis of a factitious disorder.
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