Non tuberculous mycobacteria infection of the parotid region: two familiar cases

Auris Nasus Larynx. 2007 Dec;34(4):577-9. doi: 10.1016/j.anl.2007.07.012. Epub 2007 Oct 4.

Abstract

Objective: We review two cases of non tuberculous mycobacteria infections of the parotid region in members of the same family. The parotid region represents a peculiar location for the disease and it is exceptional to discover cases in members of the same family.

Methods: Two unusual case reports of non tuberculous mycobacteria infections in two members of the same family are presented. We discuss the diagnostic criteria and review pertinent recent literature. To our knowledge, these are the first English language reports of NTM infections in member of the same family.

Results: We performed surgical exeresis of the lesions in parotid region together with the skin affected by the fistula; regular check-ups for 24 months after surgery.

Conclusions: Surgical exeresis of regional structures is the treatment for non tuberculous mycobacteria infections non responsive to antibiotic therapy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Antibiotics, Antitubercular / therapeutic use
  • Combined Modality Therapy
  • Cutaneous Fistula / diagnosis
  • Cutaneous Fistula / drug therapy
  • Cutaneous Fistula / surgery
  • Diagnosis, Differential
  • Family*
  • Female
  • Humans
  • Lymph Node Excision
  • Male
  • Mycobacterium Infections, Nontuberculous / diagnosis*
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium Infections, Nontuberculous / surgery
  • Mycobacterium kansasii*
  • Mycobacterium scrofulaceum*
  • Parotid Diseases / diagnosis
  • Parotid Diseases / drug therapy
  • Parotid Diseases / surgery
  • Parotid Gland / pathology
  • Parotid Gland / surgery
  • Parotid Region* / pathology
  • Parotid Region* / surgery
  • Parotitis / diagnosis*
  • Parotitis / drug therapy
  • Parotitis / surgery
  • Recurrence
  • Salivary Gland Fistula / diagnosis
  • Salivary Gland Fistula / drug therapy
  • Salivary Gland Fistula / surgery

Substances

  • Antibiotics, Antitubercular