Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis.

Flohr, Sarah; Ramette, Alban; Agyeman, Philipp K. A.; Duppenthaler, Andrea; Scherer, Cordula; Keller, Peter M.; Aebi, Christoph (2020). Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis. Open Forum Infectious Diseases, 7(11), ofaa506. Oxford University Press 10.1093/ofid/ofaa506

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Mycobacterium chelonae infections usually resolve with adequate therapy. We report the case of an adolescent with a chronic and progressive M chelonae infection refractory to combined antimicrobial and surgical therapy. Whole genome sequence analysis of consecutive isolates distinguished reinfection from recurrence and contributed to the diagnosis of a factitious disorder.

Item Type:

 Journal Article (Original Article)

Division/Institute:

 04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases > Research
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Infectiology
04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases
04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases > Clinical Microbiology
04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases > Mycobacteriology

UniBE Contributor:

 Flohr, Sarah, Ramette, Alban Nicolas, Agyeman, Philipp Kwame Abayie, Duppenthaler, Andrea, Scherer, Cordula, Keller, Peter Michael, Aebi, Christoph

Subjects:

 600 Technology > 610 Medicine & health
500 Science > 570 Life sciences; biology

ISSN:

 2328-8957

Publisher:

 Oxford University Press

Language:

 English

Submitter:

 Anette van Dorland

Date Deposited:

 17 Dec 2020 11:54

Last Modified:

 02 Mar 2023 23:34

Publisher DOI:

 10.1093/ofid/ofaa506

PubMed ID:

 33204765

Uncontrolled Keywords:

 Mycobacterium chelonae factitious disorder pediatrics psychiatry whole genome sequencing

BORIS DOI:

 10.7892/boris.149652

URI:

 https://boris.unibe.ch/id/eprint/149652

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