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Case report: cutaneous nontuberculous mycobacterial abscesses associated with insulin injections
Tatiana S Sousa1, Ryan J Matherne, Michael G Wilkerson
1University of Texas Medical Branch, Department of Internal Medicine, Galveston, TX 77555-0783, USA.
Abstract:
Nontuberculous mycobacterial (NTM) infections are on the rise and often cause skin diseases that are misdiagnosed. The authors present three cases of atypical mycobacterial infections in insulin-dependent diabetics occurring in sites of subcutaneous insulin injections. One of the patients was vitamin D deficient at the time of infection with NTM. The history and clinical presentation of the cases are presented; pathogenesis and treatment are discussed in conjunction with the correlation of mycobacterial disease susceptibility with vitamin D deficiency.
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