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[Mycobacterium chelonae cutaneous infection: efficacy of prolonged treatment by clarithromycin]
A L Bordet1, L Machet, A De Muret
1Service de dermatologie, CHU Trousseau, Tours, France.
Annales De Dermatologie Et De Venereologie
|January 1, 1997
Abstract
Introduction:
Mycobacterium chelonae is an ubiquitous mycobacterium which is exceptionally pathogenic. It can cause localized skin infections which are difficult to treat because of multiple drug-resistance.
Case Report:
A 87-year-old woman with bullous pemphigoid was treated with long-term prednisone and developed a skin infection due to M. Chelonae. Treatment with clarithromycin was successful, but relapse occurred 6 months after withdrawal of the antibiotic.
Discussion:
Clarithromycin is effective in single drug regimen for M. Chelonae infection, but the duration of treatment should be long when immunosuppression cannot be avoided.