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MAJ Joseph J. Drabick, MC; CPT Patrick E. Duffy, MC; MAJ Curt P. Samlaska, MC; CPT James M. Scherbenske, MC

Arch Dermatol. 1990;126(8):1064-1067.

Abstract
A 75-year-old man who had been receiving corticosteroids for treatment of chronic obstructive pulmonary disease presented with nodulopustular skin lesions, bone pain, and constitutional symptoms. Evaluation revealed a disseminated infection with Mycobacterium chelonae subspecies chelonae, with cutaneous and osseous involvement documented by histopathologic studies and cultures. The bone involvement is a novel observation for this subspecies. The patient was successfully treated with a three-drug regimen of tobramycin sulfate, erythromycin stearate, and ciprofloxacin hydrochloride. We present a discussion of the case in the context of the literature.

(Arch Dermatol. 1990;126:1064-1067)

Author Affiliations
USA; USA; USA; USA

From the Infectious Disease (Dr Drabick) and Medicine (Dr Duffy) Services and the Department of Dermatology (Drs Samlaska and Scherbenske), Walter Reed Army Medical Center, Washington, DC.

Footnotes
Accepted for publication February 27, 1990.

The views of the authors do not purport to be those of the US Army or the Department of Defense.

Reprint requests to Infectious Disease Service, Walter Reed Army Medical Center, Washington, DC 20307-5000 (Dr Drabick).

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