Considering Mycobacterium haemophilum in the differential diagnosis for lytic bone lesions in AIDS patients who present with ulcerating skin lesions |
| |
Authors: | Robert A. Lefkowitz Rolando D. Singson |
| |
Affiliation: | (1) Columbia University, College of Physicians and Surgeons, New York, New York, USA, US;(2) Department of Radiology, St. Luke’s/Roosevelt Hospital Center, 1000 10th Avenue, New York, NY 10019, USA, US |
| |
Abstract: | Mycobacterium haemophilum has recently been recognized as a newly emerging cause of osteomyelitis in immunocompromised patients. While still uncommon, its incidence has increased significantly with the growing AIDS epidemic. Like its relatives M. tuberculosis and M. intracellulare, this organism is acid-fast positive; yet unlike its more well-known counterparts, M. haemophilum requires iron-supplemented culture media and low incubation temperatures (30–32° C) for growth. We describe a case of M. haemophilum osteomyelities in the distal femur of a 36-year old HIV-positive male, who also presented with multiple skin ulcerations. In an AIDS patients with a lytic bone lesion and concomitant skin eruptions, the diagnosis of M. haemophilum should be entertained so that special culture media can be used and appropriate treatment administered. |
| |
Keywords: | Mycobacterium haemophilum Osteomyelitis AIDS Skin ulcers |
本文献已被 SpringerLink 等数据库收录! |
|