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Bug or no bug: challenges in diagnosing cutaneous mycobacterial infections
Authors:Georg Plum  Sabine A. Eming  Mario Fabri
Affiliation:1. Institute for Medical Microbiology, Immunology and Hygiene, University Hospital of Cologne, Cologne, Germany;2. Department of Dermatology, University of Cologne, Cologne, Germany;3. Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany
Abstract:Cutaneous mycobacterioses are rare in Germany. Nevertheless, early diagnosis and subsequent effective treatment requires awareness of these conditions. Moreover, mycobacterial infections are on the differential diagnosis list of many skin diseases. Diagnoses of cutaneous mycobacterioses are based on clinical features, but also on laboratory investigations, including bacterial culture, histopathology and PCR‐based methods. Knowledge about the opportunities and limitations of theses laboratory tests is pivotal to reasonable clinical decision‐making. In this paper, we review the current diagnostic options when suspecting a case of cutaneous mycobacterial infection.
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