Therapy of environmental mycobacterial infections
Environmental mycobacteria are the causative factors of an increasing number of infections worldwide. Cutaneous infections as a result of environmental mycobacteria are often misdiagnosed, and their treatment is difficult because these agents can show in vivo and in vitro multidrug resistance. The m...
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| Published in | Dermatologic therapy Vol. 21; no. 3; pp. 162 - 166 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Malden, USA
Blackwell Publishing Inc
01.05.2008
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Environmental mycobacteria are the causative factors of an increasing number of infections worldwide. Cutaneous infections as a result of environmental mycobacteria are often misdiagnosed, and their treatment is difficult because these agents can show in vivo and in vitro multidrug resistance. The most common environmental mycobacteria that can cause cutaneous infections are Mycobacterium fortuitum and Mycobacterium marinum. All mycobacteria are characterized by low pathogenicity and they can contaminate affected or traumatized skin only in immunocompetent subjects (mainly in fishermen, swimming‐pool attendants, and aquarium owners) whereas medical and esthetic procedures are at risk for the infections because of the quick‐growing mycobacteria. Immunocompromised subjects can instead easily develop environmental mycobacterial infections of differing degrees of severity. |
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| AbstractList | Environmental mycobacteria are the causative factors of an increasing number of infections worldwide. Cutaneous infections as a result of environmental mycobacteria are often misdiagnosed, and their treatment is difficult because these agents can show in vivo and in vitro multidrug resistance. The most common environmental mycobacteria that can cause cutaneous infections are Mycobacterium fortuitum and Mycobacterium marinum. All mycobacteria are characterized by low pathogenicity and they can contaminate affected or traumatized skin only in immunocompetent subjects (mainly in fishermen, swimming-pool attendants, and aquarium owners) whereas medical and esthetic procedures are at risk for the infections because of the quick-growing mycobacteria. Immunocompromised subjects can instead easily develop environmental mycobacterial infections of differing degrees of severity.Environmental mycobacteria are the causative factors of an increasing number of infections worldwide. Cutaneous infections as a result of environmental mycobacteria are often misdiagnosed, and their treatment is difficult because these agents can show in vivo and in vitro multidrug resistance. The most common environmental mycobacteria that can cause cutaneous infections are Mycobacterium fortuitum and Mycobacterium marinum. All mycobacteria are characterized by low pathogenicity and they can contaminate affected or traumatized skin only in immunocompetent subjects (mainly in fishermen, swimming-pool attendants, and aquarium owners) whereas medical and esthetic procedures are at risk for the infections because of the quick-growing mycobacteria. Immunocompromised subjects can instead easily develop environmental mycobacterial infections of differing degrees of severity. Environmental mycobacteria are the causative factors of an increasing number of infections worldwide. Cutaneous infections as a result of environmental mycobacteria are often misdiagnosed, and their treatment is difficult because these agents can show in vivo and in vitro multidrug resistance. The most common environmental mycobacteria that can cause cutaneous infections are Mycobacterium fortuitum and Mycobacterium marinum. All mycobacteria are characterized by low pathogenicity and they can contaminate affected or traumatized skin only in immunocompetent subjects (mainly in fishermen, swimming‐pool attendants, and aquarium owners) whereas medical and esthetic procedures are at risk for the infections because of the quick‐growing mycobacteria. Immunocompromised subjects can instead easily develop environmental mycobacterial infections of differing degrees of severity. |
| Author | Lotti, Torello Buggiani, Gionata Fabroni, Caterina |
| Author_xml | – sequence: 1 givenname: Caterina surname: Fabroni fullname: Fabroni, Caterina organization: CIDEBIP-Centro Interuniversitario di Dermatologia Biologica e Psicosomatica, University of Florence, Florence, Italy – sequence: 2 givenname: Gionata surname: Buggiani fullname: Buggiani, Gionata organization: University Unit of Dermatology, Department of Dermatology, University of Florence, Florence, Italy – sequence: 3 givenname: Torello surname: Lotti fullname: Lotti, Torello organization: University Unit of Dermatology, Department of Dermatology, University of Florence, Florence, Italy |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18564246$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S1201-9712(03)90052-X 10.1034/j.1600-0560.2000.027003124.x 10.1016/0738-081X(95)00006-2 10.1111/j.1445-1433.2004.03018.x 10.1128/JCM.35.11.2969-2973.1997 10.5070/D38G69T02K 10.1016/S0733-8635(18)30129-3 10.1093/clinids/20.4.812 10.1128/JCM.43.9.4407-4412.2005 10.1111/j.1365-2133.2004.06166.x 10.1046/j.1365-4362.2000.00821.x 10.1016/S0025-7125(16)34193-1 10.1128/AAC.48.9.3412-3418.2004 10.1111/j.1365-4362.1993.tb02832.x 10.1046/j.1365-4362.2000.00916.x 10.1111/j.1365-4632.2005.02204.x 10.1111/j.1396-0296.2004.04051.x 10.1016/0002-9343(91)90133-I |
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| References | Hautmann G, Lotti T. Diseases caused by Mycobacterium scrofulaceum. Clin Dermatol 1995: 13: 277-280. Cummins DL, Del Acerba D, Tausk A. Mycobacterium marinum different response to second-generation tetracyclines. Int J Dermatol 2005: 44: 518-520. Jenkins PA. Mycobacteria in the environment. J Appl Bacteriol Symp 1991: 70: 137S-141S. Hautmann G, Lotti T. Atypical mycobacterial infections: a difficult and emerging group of infectious dermatoses. Int J Dermatol 1993: 32: 499. Aziz SA, Faber WR, Kolk AHJ. Atypical cutaneous mycobacteriosis diagnosed by polymerase chain reaction. Br J Dermatol 2004: 151: 719-720. Ang P, Rattana-Apiromyakij N, Goh CL. Retrospective study of Mycobacterium marinum skin infections. Int J Dermatol 2000: 39: 343-347. Sungkanuparph S, Sathapatayavongs B, Pracharktam R. Infections with rapidly growing mycobacteria: report of 20 cases. Int J Infect Dis 2003: 7: 198-205. Han XY, Tarrand JJ, Infante R. Clinical significance and epidemiological analyses of Mycobacterium avium and Mycobacterium intracellular among patient with AIDS. J Clin Microbiol 2005: 43: 4407-4412. Jogi R, Tyring SK. Therapy of nontuberculous mycobacterial infections. Dermatol Ther 2004: 17: 491-498. Philalay JS, Palermo CO, Hauge KA, et al. Genes required for intrinsic multidrug resistance in Mycobacterium avium. Antimicrob Agents Chemother 2004: 48: 3412-3418. Muthusami JC, Vyas FL, Mukundan U, Jesudason MV, Govil S, Jesudason SR. Mycobacterium fortuitum: an iatrogenic cause of soft tissue infection in surgery. ANZ J Surg 2004: 74: 662-666. Devallois A, Goh KS, Rastogi N. Rapid identification of mycobacteria to species level by PCR-restriction fragment-length polymorphism analysis of the hsp65 gene and proposition of an algorithm to differentiate 34 mycobacterial species. J Clin Microbiol 1997: 35: 2969-2973. Cassetty CT, Sanchez M. Mycobacterium marinum infection. Dermatol Online J 2004: 10: 21. Palenque E. Skin disease and nontuberculous atypical mycobacteria. Int J Dermatol 2000: 39: 659-666. Hautmann G, Lotti T. Atypical mycobacterial infections of the skin. Dermatol Clin 1994: 12: 657-668. Runyon EH. Anonymous mycobacteria in pulmonary disease. Med Clin North Am 1959: 45: 273-290. Breathnach A, Levell N, Munro C. Cutaneous Mycobacterium kansasii infection: case report and review. Clin Infect Dis 1995: 20: 812-817. Bartralot R, Pujol RM, Garcia-Patos V, et al. Cutaneous infections due to nontuberculous mycobacteria: histopathologic review of 28 cases. Comparative study between lesions observed in immunosuppressed patient and normal host. J Cutan Pathol 2000: 27: 124-129. Pesce RR, Fejka S, Colodny SM. Mycobacterium fortuitum presenting as an asymptomatic enlarging pulmonary nodule. Am J Med 1991: 91: 310-312. 2004; 10 1995; 20 2004; 74 2000; 27 2000; 39 1990 2004; 17 1995; 13 1993; 32 2004; 151 2003; 7 2004; 48 1997; 35 1991; 70 1994; 12 2005; 43 1991; 91 2005; 44 1959; 45 Muthusami (10.1111/j.1529-8019.2008.00187.x-BIB2) 2004; 74 Sungkanuparph (10.1111/j.1529-8019.2008.00187.x-BIB16) 2003; 7 Aziz (10.1111/j.1529-8019.2008.00187.x-BIB4) 2004; 151 Han (10.1111/j.1529-8019.2008.00187.x-BIB14) 2005; 43 Cummins (10.1111/j.1529-8019.2008.00187.x-BIB19) 2005; 44 Jenkins (10.1111/j.1529-8019.2008.00187.x-BIB1) 1991; 70 Hautmann (10.1111/j.1529-8019.2008.00187.x-BIB3) 1993; 32 Cassetty (10.1111/j.1529-8019.2008.00187.x-BIB9) 2004; 10 Palenque (10.1111/j.1529-8019.2008.00187.x-BIB12) 2000; 39 Philalay (10.1111/j.1529-8019.2008.00187.x-BIB20) 2004; 48 Grange (10.1111/j.1529-8019.2008.00187.x-BIB6) 1990 Breathnach (10.1111/j.1529-8019.2008.00187.x-BIB11) 1995; 20 Hautmann (10.1111/j.1529-8019.2008.00187.x-BIB13) 1995; 13 Bartralot (10.1111/j.1529-8019.2008.00187.x-BIB17) 2000; 27 Pesce (10.1111/j.1529-8019.2008.00187.x-BIB15) 1991; 91 Runyon (10.1111/j.1529-8019.2008.00187.x-BIB5) 1959; 45 Ang (10.1111/j.1529-8019.2008.00187.x-BIB10) 2000; 39 Jogi (10.1111/j.1529-8019.2008.00187.x-BIB18) 2004; 17 Devallois (10.1111/j.1529-8019.2008.00187.x-BIB7) 1997; 35 Hautmann (10.1111/j.1529-8019.2008.00187.x-BIB8) 1994; 12 |
| References_xml | – reference: Hautmann G, Lotti T. Atypical mycobacterial infections of the skin. Dermatol Clin 1994: 12: 657-668. – reference: Ang P, Rattana-Apiromyakij N, Goh CL. Retrospective study of Mycobacterium marinum skin infections. Int J Dermatol 2000: 39: 343-347. – reference: Philalay JS, Palermo CO, Hauge KA, et al. Genes required for intrinsic multidrug resistance in Mycobacterium avium. Antimicrob Agents Chemother 2004: 48: 3412-3418. – reference: Jenkins PA. Mycobacteria in the environment. J Appl Bacteriol Symp 1991: 70: 137S-141S. – reference: Hautmann G, Lotti T. Atypical mycobacterial infections: a difficult and emerging group of infectious dermatoses. Int J Dermatol 1993: 32: 499. – reference: Muthusami JC, Vyas FL, Mukundan U, Jesudason MV, Govil S, Jesudason SR. Mycobacterium fortuitum: an iatrogenic cause of soft tissue infection in surgery. ANZ J Surg 2004: 74: 662-666. – reference: Aziz SA, Faber WR, Kolk AHJ. Atypical cutaneous mycobacteriosis diagnosed by polymerase chain reaction. Br J Dermatol 2004: 151: 719-720. – reference: Han XY, Tarrand JJ, Infante R. Clinical significance and epidemiological analyses of Mycobacterium avium and Mycobacterium intracellular among patient with AIDS. J Clin Microbiol 2005: 43: 4407-4412. – reference: Breathnach A, Levell N, Munro C. Cutaneous Mycobacterium kansasii infection: case report and review. Clin Infect Dis 1995: 20: 812-817. – reference: Cummins DL, Del Acerba D, Tausk A. Mycobacterium marinum different response to second-generation tetracyclines. Int J Dermatol 2005: 44: 518-520. – reference: Palenque E. Skin disease and nontuberculous atypical mycobacteria. Int J Dermatol 2000: 39: 659-666. – reference: Cassetty CT, Sanchez M. Mycobacterium marinum infection. Dermatol Online J 2004: 10: 21. – reference: Sungkanuparph S, Sathapatayavongs B, Pracharktam R. Infections with rapidly growing mycobacteria: report of 20 cases. Int J Infect Dis 2003: 7: 198-205. – reference: Jogi R, Tyring SK. Therapy of nontuberculous mycobacterial infections. Dermatol Ther 2004: 17: 491-498. – reference: Devallois A, Goh KS, Rastogi N. Rapid identification of mycobacteria to species level by PCR-restriction fragment-length polymorphism analysis of the hsp65 gene and proposition of an algorithm to differentiate 34 mycobacterial species. J Clin Microbiol 1997: 35: 2969-2973. – reference: Runyon EH. Anonymous mycobacteria in pulmonary disease. Med Clin North Am 1959: 45: 273-290. – reference: Hautmann G, Lotti T. Diseases caused by Mycobacterium scrofulaceum. Clin Dermatol 1995: 13: 277-280. – reference: Bartralot R, Pujol RM, Garcia-Patos V, et al. Cutaneous infections due to nontuberculous mycobacteria: histopathologic review of 28 cases. Comparative study between lesions observed in immunosuppressed patient and normal host. J Cutan Pathol 2000: 27: 124-129. – reference: Pesce RR, Fejka S, Colodny SM. Mycobacterium fortuitum presenting as an asymptomatic enlarging pulmonary nodule. 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| SubjectTerms | Anti-Bacterial Agents - administration & dosage Anti-Bacterial Agents - adverse effects Diagnosis, Differential Drug Resistance, Bacterial Humans Immunocompromised Host infection mycobacteria Mycobacterium Mycobacterium Infections, Nontuberculous - diagnosis Mycobacterium Infections, Nontuberculous - drug therapy Nontuberculous Mycobacteria - classification Nontuberculous Mycobacteria - growth & development Postoperative Complications - diagnosis Postoperative Complications - drug therapy Risk Factors Skin - injuries Skin - pathology Skin Diseases, Bacterial - diagnosis Skin Diseases, Bacterial - drug therapy treatment Wounds and Injuries - complications Wounds and Injuries - microbiology |
| Title | Therapy of environmental mycobacterial infections |
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