Chronic cheek lesions: an unusual manifestation of nontuberculous mycobacterial cevicofacial infection

J Pediatr. 2009 Nov;155(5):746-8.e1. doi: 10.1016/j.jpeds.2009.03.031.

Abstract

The characteristics of nontuberculous mycobacteria cheek lesions in 7 children were reviewed. The lesions usually presented as nontender erythematous nodules and were associated with a positive purified protein derivate tuberculin skin test. Mycobacterium haemophilum was isolated in 4 cases (57%) and Mycobacterium avium complex in 3 (43%). Cytology and imaging were noncontributory. Resolution was prolonged.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Biopsy, Needle
  • Cheek*
  • Child
  • Chronic Disease
  • Female
  • Humans
  • Incidence
  • Israel / epidemiology
  • Male
  • Mycobacterium Infections / drug therapy
  • Mycobacterium Infections / epidemiology*
  • Mycobacterium Infections / microbiology*
  • Mycobacterium avium Complex / isolation & purification*
  • Mycobacterium avium-intracellulare Infection / diagnosis
  • Mycobacterium avium-intracellulare Infection / drug therapy
  • Mycobacterium avium-intracellulare Infection / epidemiology
  • Mycobacterium haemophilum / isolation & purification*
  • Prognosis
  • Risk Assessment
  • Sampling Studies
  • Skin Diseases, Bacterial / drug therapy
  • Skin Diseases, Bacterial / epidemiology
  • Skin Diseases, Bacterial / microbiology*

Substances

  • Anti-Bacterial Agents