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Case Reports in Dermatological Medicine
Volume 2017, Article ID 8219841, 3 pages
https://doi.org/10.1155/2017/8219841
Case Report

Sporotrichoid-Like Spread of Cutaneous Mycobacterium chelonae in an Immunocompromised Patient

1Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA
2Department of Infectious Disease, Thomas Jefferson University, Philadelphia, PA, USA

Correspondence should be addressed to Anusha G. Govind; ude.nosreffej@dnivog.ahsuna

Received 5 June 2017; Accepted 20 July 2017; Published 23 August 2017

Academic Editor: Kowichi Jimbow

Copyright © 2017 Daria Marley Kemp et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mycobacterium chelonae is a rapidly growing mycobacterium found in water and soil that can cause local cutaneous infections in immunocompetent hosts but more frequently affects immunocompromised patients. Typically, patients will present with painful subcutaneous nodules of the joints or soft tissues from traumatic inoculation. However, exhibiting a sporotrichoid-like pattern of these nodules is uncommon. Herein, we report a case of sporotrichoid-like distribution of cutaneous Mycobacterium chelonae in a patient with systemic lupus erythematosus on significant immunosuppressive medications. Clinicians treating immunocompromised patients should be cognizant of their propensity to develop unusual infections and atypical presentations.