Mycobacterium gordonae in Patient with Facial Ulcers, Nosebleeds, and Positive T-SPOT.TB Test, China
Yanqing Chen, Juan Jiang, Haiqin Jiang, Jun Chen, Xiaopo Wang, Weida Liu, Zhiming Chen, Ying Shi, Wenyue Zhang, and Hongsheng Wang
Author affiliations: Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, China (Y. Chen, J. Jiang, H. Jiang, X. Wang, W. Liu, Z. Chen, Y. Shi, W. Zhang, H. Wang); Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Nanjing, (Y. Chen, J. Jiang, H. Jiang, X. Wang, W. Liu, Z. Chen, Y. Shi, W. Zhang, H. Wang); Jiangsu Provincial Cancer Hospital, Nanjing (J. Chen)
Figure. Mycobacterium gordonae infection in a 60-year-old immunocompetent woman, China. A) Facial lesions before treatment. Ulcers were erythematous and covered with yellow crusts. B) Computed tomography images before treatment show heterogeneous hypersignal in the ethmoid and left maxillary sinus (arrows). C) Facial lesions after treatment. Atrophic scars are seen at sites of previous lesions. D) Computed tomography images after treatment show recovery of the ethmoid sinus and left maxillary sinus (arrows). E) Hematoxylin and eosin stain of nasal mucosa showing the infiltration of a large number of lymphocytes, a few histiocytes, and plasma cells. Scale bar corresponds to 400 µm. Inset shows the nasal mucosa sample (original magnification ×20). F) Tissue culture 3 weeks after incubation shows yolk-yellow bacteria growing in Löwenstein–Jensen medium. A color version of this figure is available online (https://wwwnc.cdc.gov/EID/article/23/7/16-2033-F1.htm).
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