눈물주머니 코안연결술 후 발생한 비결핵성 마이코박테리아에 의한 피부감염 1예

• 영문명: A Case of Skin Infection Caused by Nontuberculous Mycobacterium after External Dacryocystorhinostomy
• 발행기관: 대한안과학회
• 저자명: 정우진,Woo Jin Jeong, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number3, 350~354쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.03.15

영문 초록

Purpose: To report a case of skin infection caused by nontuberculous mycobacterium after external dacryocystorhinostomy. Case summary: A 53-year-old female patient presented to our clinic with a tear on the left eye, although a silicone tube was intubated. Two weeks after external dacryocystorhinostomy, swelling and redness were found on the operation wound. Therefore, the patient received oral antibiotics and steroid treatments but did not improve. The mass was irregularly shaped and became larger; thus, excisional biopsy was performed at 2 months after external dacryocystorhinostomy. A chronic granulomatous tissue was detected in the excisional biopsy, and antimycobacterial medications were started in consultation with an internist. A moderate colony was observed, and rod-shaped bacteria Mycobacterium abscessus was found in the culture 47 days after acid-fast culture was performed. The patient was diagnosed with a periocular infection caused by nontuberculous mycobacterium. Finally, the lesion improved. Conclusions: Although patients with granulomatous tissue receive numerous treatments, if the lesion is not improved, then additional excisional biopsy and culture examination to identify infection by nontuberculous mycobacterium are necessary. J Korean Ophthalmol Soc 2011;52(3):350-354

키워드

Dacryocystorhinostomy, Granulomatous lesion, Nontuberculous mycobacterium