Facial Skin Lesions in Children Caused by Nontuberculous Mycobacteria.
Pediatr Dermatol
; 33(2): 196-9, 2016.
Article
en En
| MEDLINE
| ID: mdl-26823205
ABSTRACT
BACKGROUND:
Nontuberculous mycobacteria rarely cause facial skin lesions in immunocompetent children.AIM:
I describe the clinical features and treatment of nontuberculous mycobacteria facial lesions. MATERIALS ANDMETHODS:
The diagnosis of a facial nontuberculous mycobacteria infection was established using polymerase chain reaction.RESULTS:
Of 286 children with confirmed nontuberculous mycobacteria infection, 14 (4.9%; median age 50 mos, range 9-156 mos; 5 [36%] male, 9 [64%] female) had nontuberculous mycobacteria facial skin lesions. Six (43%) had lesions on the cheek and five (36%) in the medial eye corner. Polymerase chain reaction results confirmed the presence of Mycobacterium haemophilum in eight patients (57%) and Mycobacterium avium in six patients (43%). The facial lesions were treated using a combination of clarithromycin and rifabutin for 12 weeks, with a median healing time of 4 months.CONCLUSION:
Nontuberculous mycobacteria facial lesions are rare in immunocompetent children. The diagnosis requires a high index of suspicion. Nonsurgical treatment is preferable, because surgical excision of the cutaneous lesions might lead to undesirable visible facial scars.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Dermatosis Facial
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Infecciones por Mycobacterium no Tuberculosas
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Año:
2016
Tipo del documento:
Article