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E. Kanta Subbarao, MBBS; Martha M. Tarpay, MD; Melvin I. Marks, MD

Am J Dis Child. 1987;141(9):1018-1020.

Abstract
• Soft-tissue Infections caused by rapidly growing mycobacterla may follow penetrating trauma. We present four immunologically normal patients in whom soft-tissue infections with Mycobacterium fortuitum developed after they stepped on nails. Their presentations were clinically indistinguishable from puncture wound Infections caused by Pseudomonas aeruginosa and Staphylococcus aureus. The acid-fast organisms grew on standard bacteriologic media within three to five days. Speciation and antimicrobial susceptibility testing was performed. The primary mode of therapy was surgical; adjunctive antimicrobial therapy is recommended only for extensive or chronic infections and in immunocompromised hosts. All four of our patients had good outcomes after therapy.

(AJDC 1987;141:1018-1020)

Author Affiliations
From the Division of Infectious Diseases, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City. Dr Marks is now with Miller Children's Hospital, Long Beach, Calif, and the Department of Pediatrics, University of California, Irvine.

Footnotes
Accepted for publication April 3, 1987.

Presented in part before the 83rd Annual Meeting of the American Society for Microbiology, New Orleans, March 9, 1983.

Reprint requests to Memorial Medical Center, Miller Children's Hospital, Administrative Offices, 2801 Atlantic Ave, Long Beach, CA 90801-1428 (Dr Marks).

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