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KMID : 0363220110490040374
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Korean Journal of Dermatology
2011 Volume.49 No. 4 p.374 ~ p.378
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Mybacterium chelonae Infection Occurring at the Site of Bee Sting Therapy
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Shim Woo-Haing
Park Hyun-Je
Kim Hoon-Soo
Chin Hyun-Woo
Kim Su-Han
Ko Hyun-Chang
Kim Byung-Soo
Kim Moon-Bum
Kwon Kyung-Sool
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Abstract
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Mycobacterium chelonae is a rapidly growing atypical mycobacterium found in soil and water. In a healthy person, it causes cutaneous infection after an invasive procedure or surgery. Herein, we present a case of a 52-year-old man with multiple erythematous plaques and nodules on the back and left arm, and these occurred at the site of bee sting therapy by a herbal medical doctor. The histologic findings showed a granulomatous infiltration composed of numerous neutrophils, lymphocytes, eosinophils, histiocytes and multinucleated giant cells. Acid fast bacilli were detected by Ziehl-Neelsen stain and Mycobacterium chelonae infection was confirmed by an INNO-LiPA mycobacteria kit. The patient was treated with 1 g of clarithromycin and 200 mg of doxycycline for 6 months and his condition improved considerably.
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KEYWORD
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Atypical mycobacterium, Bee sting, Mycobacterium chelonae
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