{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T04:51:50Z","timestamp":1770180710370,"version":"3.49.0"},"reference-count":8,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,11]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    Non-tuberculous mycobacteria (NTM)\/atypical mycobacteria are opportunistic pathogens ubiquitous in the environment. Recently, NTM cases causing skin and soft tissue infections are on the rise, owing to the improved diagnostic techniques as well as heightened number of procedures. A man in the mid 60s with diabetes, on insulin for the past 20 years, presented with multiple painful swellings, a few of them with pus discharge, over the insulin injection sites of arms, abdomen and thighs for the past 10 months. Local ultrasonography revealed anechoic collections surrounding increased vascularity in the subcutaneous planes. Histopathology showed suppurative inflammation with a large area of necrosis in the lower dermis and subcutaneous fat. Acid-fast bacilli culture grew NTM and was identified as\n                    <jats:italic>Mycobacterium lentiflavum<\/jats:italic>\n                    by PCR followed by Sanger sequencing of the 16S\u201323S intergenic spacer region. The lesions dramatically improved with clarithromycin and ofloxacin, which were continued for a total of 5 months.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-266835","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:20:22Z","timestamp":1770135622000},"page":"e266835","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Mycobacterium lentiflavum<\/i>\n                    complicating insulin injection sites"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3798-1207","authenticated-orcid":false,"given":"Gopikrishnan","family":"Anjaneyan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna Thresia","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen V","family":"Pavithran","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lalitha","family":"Biswas","sequence":"additional","affiliation":[{"name":"Department of Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7240-4691","authenticated-orcid":false,"given":"Anil","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malini","family":"Eapen","sequence":"additional","affiliation":[{"name":"Department of Pathology, Amrita Institute of Medical Sciences and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"2026020308201491000_19.2.e266835.1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.4103\/idoj.idoj_838_23","article-title":"Cutaneous Atypical Mycobacterial Infections: A Brief 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Mycobacterium lentiflavum after subcutaneous injection of lipolytic formula","volume":"95","author":"Mello","year":"2020","journal-title":"An Bras Dermatol"},{"key":"2026020308201491000_19.2.e266835.6","doi-asserted-by":"crossref","first-page":"e373","DOI":"10.1111\/1346-8138.16881","article-title":"Cutaneous infection by Mycobacterium lentiflavum diagnosed by matrix-assisted laser desorption\/ionization time-of-flight mass spectrometry (MALDI-TOF MS)","volume":"50","author":"Ikuno","year":"2023","journal-title":"J Dermatol"},{"key":"2026020308201491000_19.2.e266835.7","doi-asserted-by":"publisher","DOI":"10.1177\/8755122516655544"},{"key":"2026020308201491000_19.2.e266835.8","doi-asserted-by":"publisher","DOI":"10.1159\/000093863"}],"container-title":["BMJ Case 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