Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis. (22nd October 2020)

• Record Type: Journal Article
• Authors: Flohr, Sarah; Ramette, Alban; Agyeman, Philipp K A; Duppenthaler, Andrea; Scherer, Cordula; Keller, Peter M; Aebi, Christoph
• Is Part Of: Open forum infectious diseases. Volume 7:Number 11(2020)
• Publication Date: 2020-10-22
• Subjects: factitious disorder -- Mycobacterium chelonae -- pediatrics -- psychiatry -- whole genome sequencing; Communicable diseases -- Periodicals; Medical microbiology -- Periodicals; Infection -- Periodicals; 616.9
• DOI: 10.1093/ofid/ofaa506
• Languages: English
• ISSNs: 2328-8957

Abstract

Abstract: 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.