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  • Title: [Mycobacterium chelonae cutaneous infection: efficacy of prolonged treatment by clarithromycin].
    Author: Bordet AL, Machet L, De Muret A, François-Ramanantsoa C, Lorette G, Vaillant L.
    Journal: Ann Dermatol Venereol; 1997; 124(3):251-3. PubMed ID: 9686059.
    Abstract:
    INTRODUCTION: Mycobacterium chelonae is an ubiquitous mycobacterium which is exceptionally pathogenic. It can cause localized skin infections which are difficult to treat because of multiple drug-resistance. CASE REPORT: A 87-year-old woman with bullous pemphigoid was treated with long-term prednisone and developed a skin infection due to M. Chelonae. Treatment with clarithromycin was successful, but relapse occurred 6 months after withdrawal of the antibiotic. DISCUSSION: Clarithromycin is effective in single drug regimen for M. Chelonae infection, but the duration of treatment should be long when immunosuppression cannot be avoided.
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