感染症学雑誌
Online ISSN : 1884-569X
Print ISSN : 0387-5911
ISSN-L : 0387-5911
症例
サルコイドーシスとの関連が示唆された Mycobacterium nonchromogenicum 皮膚感染症の1 例
戸田 知子末松 梨絵井上 久子小荒田 秀一多田 芳史青木 洋介長澤 浩平
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2010 年 84 巻 3 号 p. 300-304

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A 67-year-old man clinically diagnosed a year earlier with sarcoidosis based on low-grade fever, lymphadenopathy, trunk skin rash, and histopathological skin tests was admitted for newly developing subcutaneous nodules on the trunk and arms and fever of 38℃. Although initially suspected of recurrent sarcoidosis,he was diagnosed with Mycobacterium chromogenicum infection isolated from skinl esion culture.Combined clarithromycin of 800 mg/day, ethambutol of 750mg/day, and embiomycin of 0.5g/day was started, after which fever declined and WBC count and CRP decreased to normal in a week. One month later, skin lesions had disappeared. This case is interesting considering the association of nontuberculous mycobacterial infection with sarcoidosis.

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© 2010 社団法人 日本感染症学会
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