ABSTRACT
We report the case of a 36-year-old woman who presented with a surgical site infection with atypical mycobacteria several months after liposuction in the Caribbean. Postoperative wound infections with Mycobacterium abscessus present as subcutaneous nodular abscesses with partly putrid secretion. Due to the necessity of specific diagnostic measures, diagnosis is often delayed. Treatment is difficult because Mycobacterium abscessus is resistant to conventional tuberculostatics and many other antibiotics. Clarithromycin combined with amikacin is the commonly used empirical treatment. Treatment duration is several months.
Subject(s)
Abdominoplasty/adverse effects , Lipectomy/adverse effects , Mycobacterium Infections/diagnosis , Soft Tissue Infections/diagnosis , Surgical Wound Infection/diagnosis , Travel , Adult , Antifungal Agents/therapeutic use , Diagnosis, Differential , Female , Humans , Mycobacterium Infections/drug therapy , Mycobacterium Infections/etiology , Soft Tissue Infections/drug therapy , Soft Tissue Infections/etiology , Surgical Wound Infection/drug therapy , Surgical Wound Infection/etiology , Treatment Outcome , West IndiesABSTRACT
We report the case of a 45 year-old male with palmoplantar hyperkeratosis. He had chronic thyroiditis with severe hypothyroidism. Skin lesions improved upon thyroid hormone replacement. Complete resolution of palmoplantar keratoderma was achieved after 7 months of therapy. The association of acquired palmoplantar keratoderma with hypothyroidism even though extremely unusual, should be considered in the differential diagnosis. It is a reversible condition.
Describimos un paciente de 45 años de sexo masculino, con hiperqueratosis palmoplantar. Simultáneamentese diagnosticó hipotiroidismo primario de origen autoinmune. Al realizar tratamiento sustitutivo con levotiroxina, el cuadro dermatológico se resolvió en el transcurso de siete meses. La queratodermia palmoplantar adquirida asociada a hipotiroidismo es una condición reversible. A pesar de ser una asociación infrecuente, debe ser considerada en el diagnóstico diferencial.
Subject(s)
Humans , Male , Middle Aged , Keratoderma, Palmoplantar/etiology , Hypothyroidism/complications , Keratoderma, Palmoplantar/drug therapy , Hypothyroidism/drug therapy , Thyroxine/therapeutic useABSTRACT
We report the case of a 45 year-old male with palmoplantar hyperkeratosis. He had chronic thyroiditis with severe hypothyroidism. Skin lesions improved upon thyroid hormone replacement. Complete resolution of palmoplantar keratoderma was achieved after 7 months of therapy. The association of acquired palmoplantar keratoderma with hypothyroidism even though extremely unusual, should be considered in the differential diagnosis. It is a reversible condition.(AU)
Describimos un paciente de 45 años de sexo masculino, con hiperqueratosis palmoplantar. Simultáneamentese diagnosticó hipotiroidismo primario de origen autoinmune. Al realizar tratamiento sustitutivo con levotiroxina, el cuadro dermatológico se resolvió en el transcurso de siete meses. La queratodermia palmoplantar adquirida asociada a hipotiroidismo es una condición reversible. A pesar de ser una asociación infrecuente, debe ser considerada en el diagnóstico diferencial.(AU)