Korean J Dermatol.  2011 Apr;49(4):374-378.

Mybacterium chelonae Infection Occurring at the Site of Bee Sting Therapy

Affiliations
  • 1Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. volland@naver.com

Abstract

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.

Keyword

Atypical mycobacterium; Bee sting; Mycobacterium chelonae

MeSH Terms

Arm
Bees
Bites and Stings
Clarithromycin
Doxycycline
Eosinophils
Giant Cells
Histiocytes
Humans
Lymphocytes
Middle Aged
Mycobacterium chelonae
Neutrophils
Nontuberculous Mycobacteria
Soil
Clarithromycin
Doxycycline
Soil
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