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쇼그렌 증후군 환자에서 발생한 Mycobacterium Massiliense에 의한 재발성 폐렴
서지영 ( Ji Young Seo ),이병희 ( Byung Hee Lee ),이장원 ( Jang Won Lee ),이명희 ( Myeong Hee Lee ),오숙경 ( Suk Gyeong O ),조현명 ( Hyun Myung Cho ),이충원 ( Chung Won Lee ) 대한내과학회 2012 대한내과학회지 Vol.83 No.2
Mycobacterium massiliense is an emerging pathogen that is increasingly reported as a causative agent occurring during medical procedures, at surgical sites, and intramuscularly [1]. Although previously classified as part of M. abscessus, M. massiliense has recently been identified as a new species of rapidly growing nontuberculous mycobacteria [1,3] via a comparative sequence analysis of rpoB and hsp65 [3,5]. However, the clinical manifestations of M. massiliense have not been well characterized. We report here in a case of recurrent pneumonia for 3 years that improved with antibiotic treatment for M. massiliense in a 37-year-old woman with Sjogren`s syndrome. The patient showed a substantial response to treatment with a combination of antimicrobial therapies comprising clarithromycin and amikacin without cefoxitin for 6 months. This is the first report of pulmonary infection of M. massiliense with Sjogren`s syndrome in Korea.
A case of abscess caused by Mycobacterium massiliense
( Ju Hee Han ),( Yeong Ho Kim ),( Chul Hwan Bang ),( Ji Hyun Lee ),( Tae Yoon Kim ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.1
Mycobacterium massiliense (M. massiliense) is an emerging pathogen closely related to Mycobacterium abscessus and Mycobacterium chelonae. This species could cause disseminated infections in immunocompromised patients and cutaneous M. massiliense infections associated with previous invasive procedures. A 64-year-old woman presented with a warm, painful, erythematous swelling on the back and left inguinal area for 1 month. She denied any history of trauma or invasive procedures but she had started going swimming every day since two months before the development of the lesion. A skin biopsy showed perivascular and periadnexal lymphohistiocytic infiltration in the deep dermis without granulomatous inflammation. AFB staining was positive and culturing in Ogawa medium showed numerous whitish colonies. The result of PCR-hybridization and erythromycin ribosome methyltransferase gene PCR detected the species to be M. massiliense. Multiple incision and drainage were performed and oral clarithromycin 500 mg/day was administered for 5 months. The lesions decreased in size and no recurrence was observed after discontinuation of the medication. Cutaneous M. massiliense infection without an antecedent invasive procedure is uncommon. Herein, we report a rare case of abscess caused by M. massiliense that occurred after swimming.
Choi, Hayoung,Kim, Su-Young,Lee, Hyun,Jhun, Byung Woo,Park, Hye Yun,Jeon, Kyeongman,Kim, Dae Hun,Huh, Hee Jae,Ki, Chang-Seok,Lee, Nam Yong,Lee, Seung-Heon,Shin, Sung Jae,Daley, Charles L.,Koh, Won-Jun American Society for Microbiology 2017 Antimicrobial Agents and Chemotherapy Vol.61 No.2
<P>Macrolide antibiotics are cornerstones in the treatment of Mycobacterium massiliense lung disease. Despite the emergence of resistance, limited data on macrolide-resistant M. massiliense lung disease are available. This study evaluated the clinical features and treatment outcomes of patients and the molecular characteristics of macrolide-resistant M. massiliense isolates. We performed a retrospective review of medical records and genetic analyses of clinical isolates from 15 patients who had macrolide-resistant M. massiliense lung disease between September 2005 and February 2015. Nine patients (60%) had the nodular bronchiectatic form of the disease, and six (40%) had the fibrocavitary form. Before the detection of macrolide resistance, three patients (20%) were treated with macrolide monotherapy, four (27%) with therapy for presumed Mycobacterium avium complex infections, and eight (53%) with combination antibiotic therapy for M. massiliense lung disease. The median treatment duration after the detection of resistance was 18.7 months (inter-quartile range, 11.2 to 39.8 months). Treatment outcomes were poor, with a favorable outcome being achieved for only one patient (7%), who underwent surgery in addition to antibiotic therapy. The 1-, 3-, and 5-year mortality rates were 7, 13, and 33%, respectively. Of the 15 clinical isolates, 14 (93%) had point mutations at position 2058 (n = 9) or 2059 (n = 5) of the 23S rRNA gene, resulting in macrolide resistance. Our study indicates that treatment outcomes are poor and mortality rates are high after the development of macrolide resistance in patients with M. massiliense lung disease. Thus, preventing the development of macrolide resistance should be a key consideration during treatment.</P>
지방흡입술 후 발생한 Mycobacterium massiliense 감염
김정민 ( Jeong Min Kim ),조현호 ( Hyun Ho Cho ),김원정 ( Won Jeong Kim ),문제호 ( Je Ho Mun ),송마가렛 ( Margaret Song ),김훈수 ( Hoon Soo Kim ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),고현창 ( Hyun Chang Ko ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.2
Mycobacterium massiliense is a new emerging pathogen within the M. chelonae-M. abscessus group that has been described recently. Mycobacterium massiliense usually causes pulmonary or skin and soft tissue infections in immunocompromised patients; however, cutaneous infections have also been reported in healthy individuals following surgical procedures or laparoscopic surgery. This potentially hazardous microorganism should not be overlooked because it often shows resistance to conventional antibiotics. A 25-year-old woman presented with erythematous nodules on her left leg, which was a liposuction site. A histopathological examination showed suppurative granulomas with mixed cellular infiltrations within the dermis and fat layer. Rod-shaped bacilli were detected within the clear spaces of the dermis using Ziehl-Neelsen stain. An acid-fast bacterial culture showed colony formation, and using the polymerase chain reaction-restriction fragment length polymorphism analytical method and the ERM gene, we identified M. massiliense. After surgical excision and the systemic administration of medication comprising clarithromycin and linezolid for 6 months, all of the cutaneous lesions improved and no new lesions occurred. (Korean J Dermatol 2015;53(2):133∼137)
Shin, Sung Jae,Choi, Go-Eun,Cho, Sang-Nae,Woo, Sook Young,Jeong, Byeong-Ho,Jeon, Kyeongman,Koh, Won-Jung Oxford University Press 2013 Clinical infectious diseases Vol.57 No.1
<P>The clinical manifestation and disease progression of <I>Mycobacterium abscessus</I> and <I>Mycobacterium massiliense</I> lung disease are variable. This study provides evidence that the clinical isolates of <I>M. abscessus</I> and <I>M. massiliense</I> with specific genotypes are associated with disease phenotype and progression.</P>
건강한 성인에서 발생한 Mycobacterium massiliense 중이염
김미연 ( Miyeon Kim ),허상택 ( Sang Taek Heo ),이재근 ( Jae-geun Lee ),서지영 ( Michelle J. Suh ),현창림 ( Chang Lim Hyun ),유정래 ( Jeong Rae Yoo ) 대한내과학회 2020 대한내과학회지 Vol.95 No.4
Mycobacterium massiliense (M. massiliense) is a novel nontuberculous mycobacteria (NTM) and an opportunistic pathogen that lives in the water, soil, food, and air. It is a subspecies of the rapidly growing mycobacteria Mycobacterium abscessus. This atypical pathogen has been reported mainly in patients with lung disease or those undergoing cosmetic or surgical procedures. A 62-year-old woman presented with productive otorrhea for 10 months, no history of surgery, and chronic otitis media. M. massiliense was identified from a tissue specimen using real-time polymerase chain reaction for NTM (Biosewoom, Seoul, Korea), and NTM was identified by acid-fast bacilli culture. Successful treatment consisted of clarithromycin for 4 months. No other case of chronic otitis media related to M. massiliense has been reported. This is the first confirmed case of chronic otitis media caused by M. massiliense in a healthy adult in South Korea. (Korean J Med 2020;95:276-280)
Mycobacterium massiliense infection after thread lift insertion
( Jung Jin Shin ),( Bo Young Kim ),( Ji Hyun Park ),( Ji Min Lee ),( Il Hwan Kim ),( Hwa Jung Ryu ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.1
Thread lifting, a minimally invasive technique, is a relatively new procedure in the field of cosmetic dermatology. Different types of threads are available for insertion following blind punctures, and are known to gather tissues and stimulate dermal rejuvenation. As this procedure has increased in popularity, the frequency of illegal practices in non-medical licensed facilities has also increased proportionally. Mycobacterium massiliense is a rapid growing nontuberculous mycobacterium (NTM) that is closely related to the M. abscessus/chelonae group. It is usually ubiquitous in soil and water, but increasing reports of its isolates in human infection need attention. A 47-year-old woman presented with itchy erythematous plaques on both cheeks, which appeared following a polydioxanone thread lift procedure at a cosmetic beauty salon. Biopsy revealed granulomatous inflammation with neutrophilic abscess and subsequent pus culture revealed Mycobacterium massiliense growth. The patient responded well to treatment regimen of oral clarithromycin and intralesional triamcinolone injection. Herein, we report a case of Mycobacterium massiliense granulomatous infection following a thread lift procedure performed at a non-medical cosmetic beauty salon.
( Jung Wan Yoo ),( Yong Hee Kim ),( Tae Sun Shim ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.1
Mycobacterium massiliense is newly identified rapid-growing nontuberculous mycobacterium, but there are no reports of this mycobacterium species being the cause of human illness. We describe one case of Mycobacterium massiliense infection presenting as antibiotic-resistant acute pneumonia that resulted in surgical treatment.
Cutaneous Mycobacterium massiliense Infection associated with bee venom acupuncture
( Kyung Muk Jeong ),( Seung Hwi Kwon ),( Yoo Sang Baek ),( Jiehyun Jeon ),( Chil Hwan Oh ),( Hae Jun Song ) 대한피부과학회 2018 대한피부과학회 학술발표대회집 Vol.70 No.1
Bee venom acupuncture is a variant of acupuncture technic of folk medicine using bee sting. Despite controversies surrounding its effectiveness, various adverse events including nontuberculous mycobacterium (NTM) skin and soft tissue infection has been reported. Mycobacterium massiliense is a rapid growing nontuberculous mycobacterium (NTM) that is closely related to the M. abscessus/chelonae group. It is usually ubiquitous in soil and water, but increasing reports of its isolation in human infection arouse attention for it. A 37-year-old woman presented with tender erythematous indurated patches on lateral side of right knee, which was developed following a bee venom acupuncture procedure. Biopsy revealed chronic granulomatous inflammation with abscess and subsequent pus culture revealed Mycobacterium massiliense growth. The patient treated with 6 months of oral clarithromycin and 14 days of intramuscular amikacin and did not show recurrence afterward. Herein, we report a case of Mycobacterium massiliense granulomatous infection following a bee venom acupuncture procedure.
A case of cutaneous Mycobacterium massiliense infection in body polisher
( Hee Jae Park ),( Byeong Chang Ko ),( Jae Hong Oh ),( Seung Pil Ham ),( Mira Choi ),( Hai-jin Park ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.1
Cutaneous nontuberculous mycobacteria (NTM) infections, mostly caused by rapidly growing mycobacterium (RGM), have been primarily reported following medical procedures or penetrating injury. Soft tissue and skin infections by NTM show variations in clinical presentation such as ulcerations, plaques, papules and nodules, which may cause delays in diagnosis. As Mycobacterium massiliense is a recently identified RGM species belonging to Mycobaterium abscessus complex, it is rarely reported in the general population. A healthy 50-year-old woman visited our department with erythematous nodules on the dorsum of right hand and right forearm that had appeared 4 months ago. She complained no tenderness and itching sensation on the lesion. She had worked as a body polisher for 10 years but denied any history of trauma. Cutaneous NTM infections, cutaneous deep fungal infections and granuloma annulare were considered as differential diagnoses. The skin biopsy revealed granulomatous inflammation with neutrophilic micro-abscesses and multinucleated giant cells in the dermis. NTM was detected in the tissue culture and M. massiliense was finally identified by culture. Based on the antibiotic susceptibility test result, the patient was treated with clarithromycin for 4 months showing a successful response to the treatment. Herein we present a rare case of cutaneous M. massiliense infections that would not be attributed to a prior invasive procedure.