건강한 성인에서 발생한 Mycobacterium massiliense 중이염
A Rare Case of Chronic Otitis Media Caused by Mycobacterium massiliense in a Healthy Adult
김미연, 허상택, 이재근, 서지영, 현창림, 유정래,
소속 상세정보
김미연 ( Kim Mi-Yeon )
Jeju National University College of Medicine Department of Internal Medicine
허상택 ( Heo Sang-Taek )
Jeju National University College of Medicine Department of Internal Medicine
이재근 ( Lee Jae-Geun )
Jeju National University College of Medicine Department of Internal Medicine
서지영 ( Suh Michelle J. )
Jeju National University Hospital Department of Otorhinolaryngology-Head and Neck Surgery
현창림 ( Hyun Chang-Lim )
Jeju National University College of Medicine Department of Pathology
유정래 ( Yoo Jeong-Rae )
Jeju National University College of Medicine Department of Internal Medicine
Abstract
Mycobacterium massiliense (M. massiliense) is a novel nontuberculous mycobacteria (NTM) and an opportunistic pathogen that lives in the water, soil, food, and air. It is a subspecies of the rapidly growing mycobacteria Mycobacterium abscessus. This atypical pathogen has been reported mainly in patients with lung disease or those undergoing cosmetic or surgical procedures. A 62-year-old woman presented with productive otorrhea for 10 months, no history of surgery, and chronic otitis media. M. massiliense was identified from a tissue specimen using real-time polymerase chain reaction for NTM (Biosewoom, Seoul, Korea), and NTM was identified by acid-fast bacilli culture. Successful treatment consisted of clarithromycin for 4 months. No other case of chronic otitis media related to M. massiliense has been reported. This is the first confirmed case of chronic otitis media caused by M. massiliense in a healthy adult in South Korea.
키워드
Otitis media; Nontuberculous mycobacteria; Mycobacterium massiliense
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