Cutaneous Tuberculosis and Nontuberculous Mycobacterial Infections at a National Specialized Hospital in China

Acta Derm Venereol. 2019 Oct 1;99(11):997-1003. doi: 10.2340/00015555-3283.

Abstract

To identify the microorganism distribution clinical characteristics and management of cutaneous Mycobacterium tuberculosis and nontuberculous mycobacterial infectious diseases in the past 10 years we collected and analyzed the patient records of all cutaneous M. tuberculosis and nontuberculous mycobacterial infection cases diagnosed by culture and/or PCR from 2008 to 2017 in the Hospital of Dermatology Chinese Academy of Medical Sciences. Among 203 cases including 89 M. tuberculosis infections and 114 nontuberculous mycobacterial infections M. tuberculosis was the most common species in all patients and M. marinum predominated among the nontuberculous mycobacterial followed by M. abscessus. Cases of cutaneous mycobacterial infection especially nontuberculous mycobacterial infection increased in the past 10 years and infection with rapidly growing mycobacteria significantly increased in the last 5 years in this national hospital in Southeast China. Injuries were common causative factors. Approximately 91.3% of patients responded well to longstanding antibiotic therapy.

Keywords: infectious skin diseases Mycobacterium Mycobacterium tuberculosis nontuberculous mycobacteria retrospective study.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Antitubercular Agents / therapeutic use
  • Child
  • China / epidemiology
  • Female
  • Hospitals, Special*
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous / diagnosis
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium Infections, Nontuberculous / epidemiology
  • Mycobacterium Infections, Nontuberculous / microbiology*
  • Mycobacterium tuberculosis / drug effects
  • Mycobacterium tuberculosis / genetics
  • Mycobacterium tuberculosis / growth & development*
  • Nontuberculous Mycobacteria / drug effects
  • Nontuberculous Mycobacteria / genetics
  • Nontuberculous Mycobacteria / growth & development*
  • Skin Diseases, Bacterial / diagnosis
  • Skin Diseases, Bacterial / drug therapy
  • Skin Diseases, Bacterial / epidemiology
  • Skin Diseases, Bacterial / microbiology*
  • Time Factors
  • Treatment Outcome
  • Tuberculosis, Cutaneous / diagnosis
  • Tuberculosis, Cutaneous / drug therapy
  • Tuberculosis, Cutaneous / epidemiology
  • Tuberculosis, Cutaneous / microbiology*
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Antitubercular Agents