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June 1986

Giant Mycobacterium fortuitum Abscess Associated With Systemic Lupus Erythematosus

Author Affiliations

From the Department of Dermatology, University of Texas Medical Branch, Galveston.

Arch Dermatol. 1986;122(6):695-697. doi:10.1001/archderm.1986.01660180101025

• A 36-year-old woman with a 1½-year history of systemic lupus erythematosus was first seen in October 1984 with a six-month history of several ulcerated and scarred lesions on the lower extremities. A biopsy specimen showed a granulomatous infiltrate of deep dermis and subcutaneous tissue. Over the next three weeks, the patient developed a violaceous, warm, indurated, tender, fluctuant lesion involving most of the left buttock. A culture showed a rapidly growing atypical acid-fast bacteria, which was later identified as Mycobacterium fortuitum. The patient was treated with surgical drainage of the left hip abscess, followed by a three-week treatment with doxycycline hyclate and amikacin sulfate. She was discharged while receiving oral doxycycline and ethambutol hydrochloride.

(Arch Dermatol 1986;122:695-697)