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Cutaneous Mycobacteriosis: Occurrence and Significance in Two Patients With the Acquired Immunodeficiency Syndrome

Authors :
Freed, Jeffrey A.
Pervez, Nafees K.
Chen, Virginia
Lebwohl, Mark
Damsker, Beca
Source :
Archives of Dermatology; December 1987, Vol. 123 Issue: 12 p1601-1603, 3p
Publication Year :
1987

Abstract

TO THE EDITOR.— Mycobacterial skin lesions classically present as nodules, abscesses, or indolent ulcers at sites of minor trauma, including injection sites, indicating local infection.1 Mycobacterial skin nodules have been described in systemic mycobacteriosis.2,3 Since disseminated mycobacterial infection is frequent in patients with the acquired immunodeficiency syndrome (AIDS),4 mycobacterial skin lesions in these patients can be presumed to indicate systemic infection. We describe here three variants of mycobacterial skin lesions in two patients with AIDS, both of whom had disseminated infection confirmed at autopsy. Furthermore, we recommend biopsy and culture of suspicious skin lesions as noninvasive tools for diagnosing mycobacterial infection in patients with AIDS. REPORT OF CASES.— Case 1.—A 29-year-old Hispanic man with risk factors of homosexuality and chronic intravenous (IV) drug abuse was hospitalized for fever, cough, and shortness of breath of two days' duration. His history was significant for recurrent opportunistic infections (oral and

Details

Language :
English
ISSN :
0003987X and 15383652
Volume :
123
Issue :
12
Database :
Supplemental Index
Journal :
Archives of Dermatology
Publication Type :
Periodical
Accession number :
ejs28479419
Full Text :
https://doi.org/10.1001/archderm.1987.01660360029007