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Creeping Cold Nodules: Ascending Lower Extremity Nodules in an Immunocompromised Patient
William H Hewlett1, Adam M Garber2
1Internal Medicine, University of Pennsylvania, Philadelphia, USA.
Abstract:
Non-tuberculous mycobacterium (NTM) infection can cause a broad range of pathology, especially in an immunocompromised patient. We report a case of ascending lower extremity nodules in a renal transplant patient that were found to be caused by Mycobacterium chelonae, an NTM. We discuss the clinical evaluation and workup of this patient and why NTM infections may require a high degree of clinical suspicion to properly diagnose and treat.
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