A Case of Cutaneous Infection Caused by Mycobacterium Szulgai with Progression to Acute Respiratory Distress Syndrome | Zendy

Hiromitsu Ohta | Zendy; Eisaku Miyauchi | Zendy; Masahito Ebina | Zendy; Toshihiro Nukiwa | Zendy

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A Case of Cutaneous Infection Caused by Mycobacterium Szulgai with Progression to Acute Respiratory Distress Syndrome

Author(s) -

Hiromitsu Ohta,

Eisaku Miyauchi,

Masahito Ebina,

Toshihiro Nukiwa

Publication year - 2011

Publication title -

clinical medicine insights case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.187

H-Index - 12

ISSN - 1179-5476

DOI - 10.4137/ccrep.s7180

Subject(s) - ards , medicine , bronchoalveolar lavage , miliary tuberculosis , sputum , mycobacterium tuberculosis , respiratory distress , acute respiratory distress , tuberculosis , lung infection , immunology , sputum culture , lung , pathology , surgery

A 59-year-old man presented with a skin eruption and bilateral swelling of the legs. Soon after the initial presentation, he developed acute respiratory distress syndrome (ARDS) with miliary lung nodules. Culture of samples from the skin ulcers, sputum, and bronchoalveolar lavage fluid all revealed Mycobacterium szulgai infection. The patient was successfully treated with antituberculosis drugs. M. szulgai infection is very rarely reported worldwide, and disseminated infection usually occurs in immunocompromised patients. However, the present patient was a non-immunocompromised case, although he was a hepatitis B virus carrier. While the progression to ARDS from M. tuberculosis infection is well known, this is the first case of M. szulgai infection progressing to ARDS.

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