Dermatologica Sinica

CASE REPORT
Year
: 2019  |  Volume : 37  |  Issue : 4  |  Page : 229--232

Cutaneous Mycobacterium haemophilum infection with jarisch–herxheimer reaction: A case report from Taiwan


Chi-Hui Wang1, Chun-Wei Lu2, Yun Fu1, Ting-Shu Wu3, Chin-Fang Lu4, Hong-Shang Hong1 
1 Department of Dermatology, Chang Gung Memorial Hospital, Linkou, Taipei, Taiwan
2 Department of Dermatology, Chang Gung Memorial Hospital, Linkou, Taipei; Department of Medicine, College of Medicine; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan
3 Department of Internal Medicine, Division of Infectious Diseases, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan
4 Department of Dermatology, Research Center of Cutaneous Disorders, Chung Shan Hospital, Taipei, Taiwan

Correspondence Address:
Dr. Hong-Shang Hong
No. 199, Dunhua N. Road., Songshan District, Taipei City 105
Taiwan

Mycobacterium haemophilum is a slow-growing and iron-dependent nontuberculous mycobacterium that can cause cutaneous ulcerations or nodular lesions. The diagnosis of cutaneous M. haemophilum infection is currently extremely rare in Taiwan. An 80-year-old Chinese man taking oral prednisolone for months presented with multiple erythematous as well as indurated and painful nodules over his right forearm. The diagnosis of M. haemophilum infection was confirmed through positive acid-fast staining – a technique used in histopathology and species identification – which was performed using molecular methods. Notably, Jarisch–Herxheimer reaction developed promptly during the antimicrobial therapy. Ideal skin culture conditions and specific molecular identification techniques are required for optimal detection of M. haemophilum.


How to cite this article:
Wang CH, Lu CW, Fu Y, Wu TS, Lu CF, Hong HS. Cutaneous Mycobacterium haemophilum infection with jarisch–herxheimer reaction: A case report from Taiwan.Dermatol Sin 2019;37:229-232


How to cite this URL:
Wang CH, Lu CW, Fu Y, Wu TS, Lu CF, Hong HS. Cutaneous Mycobacterium haemophilum infection with jarisch–herxheimer reaction: A case report from Taiwan. Dermatol Sin [serial online] 2019 [cited 2020 Aug 10 ];37:229-232
Available from: http://www.dermsinica.org/article.asp?issn=1027-8117;year=2019;volume=37;issue=4;spage=229;epage=232;aulast=Wang;type=0