Recurrent Mycobacterium chelonae Skin Infection Unmasked as Factitious Disorder Using Bacterial Whole Genome Sequence Analysis.
Sarah FlohrAlban RamettePhilipp K A AgyemanAndrea DuppenthalerCordula SchererPeter M KellerChristoph AebiPublished in: Open forum infectious diseases (2020)
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.