Open Access Highly Accessed Case report

Cutaneous infection by Mycobacterium haemophilum and kansasii in an IgA-deficient man

Vassiliki Bekou1*, Amanda Büchau1, Michael J Flaig1, Thomas Ruzicka1 and Michael Hogardt23

Author Affiliations

1 Department of Dermatology and Allergology, Ludwig-Maximilians-University, Munich, Germany

2 Max von Pettenkofer-Institut für Hygiene and Medical Microbiology, Ludwig-Maximilians-University, Munich, Germany

3 Bavarian Health and Food Safety Authority, Department of Infectiology, Oberschleissheim, Germany

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BMC Dermatology 2011, 11:3  doi:10.1186/1471-5945-11-3

Published: 26 January 2011

Abstract

Background

The prevalence of infections by nontuberculous mycobacteria (NTM) has steadily increased over the past decades, especially in immunocompromised patients.

Case presentation

We present a patient with IgA-deficiency and mixed cutaneous infection by two slowly growing mycobacteria, Mycobacterium (M.) haemophilum and M. kansasii.

Conclusions

Cutaneous M. haemophilum infections most often result from HIV or transplantation-associated immunosuppression. Rarely, M. haemophilum may also infect healthy patients or iatrogenically immunosuppressed patients without transplantation. M. kansasii is one of the most frequent NTM and large awareness exists about its involvement in human diseases. Mycobacterial diagnosis of cutaneous infections should be considered in long-lasting skin lesions.