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Published on: February 9, 2011
Mycobacterium chelonae infection of the hand presenting as a collar-button abscess
Amy Nguyen1, Kyros Ipaktchi, Meryl Livermore
1University of Colorado School of Medicine, USA.
Abstract:
Mycobacterial infections of the hand are extremely rare, with Mycobacterium chelonae being an especially uncommon source of infection. The following is a report of such an infection presenting as a collar-button abscess. The difficulty of isolating the organism, in addition to a low index of suspicion for it, resulted in a significant delay in appropriate treatment. The patient demonstrated an indolent course of infection and unresponsiveness to traditional treatments, both red flags that should raise concern for a mycobacterial cause. Eventually, repeated irrigation and debridement and a prolonged course of antibiotics resulted in the resolution of the patient's symptoms.
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