{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T02:54:03Z","timestamp":1777085643202,"version":"3.51.4"},"reference-count":9,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,14]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p><jats:italic>Mycobacterium abscessus<\/jats:italic> complex is a group of nontuberculous mycobacteria (NTM). The NTM may involve skin, soft tissue, and other organs like the eye and central nervous system. Clinically may mimic multidrug resistance. Here, we present a case of a 29\u2010year man with a history of multiple scalp swellings with mild symptoms. He had undergone multiple triamcinolone acetonide injections on his scalp to stop hair fall and baldness 2 months prior. As there was a history of injections on the scalp and lesions associated with minimal symptoms, we suspected the possibility of NTM and fungal infections. As a part of treatment and obtaining a sample for investigation, lesions were aspirated with a needle. The swellings contained gelatinous material, which was sent for microscopic examination, and revealed the presence of acid\u2010fast bacilli (AFB). Xpert MTB\/RIF assay was negative for mycobacteria (MTB complex), but culture revealed NTM was identified as <jats:italic>M. abscessus<\/jats:italic> complex by line probe assay. Based on the diagnosis, the patient was treated with an injection of amikacin, moxifloxacin, and azithromycin. The lesions improved. The patient has completed over a year of follow-up with no recurrence noted. <jats:italic>Mycobacterium abscessus<\/jats:italic>, a rapidly growing NTM, has been occasionally reported to cause cutaneous soft tissue infection when injected with nonsterile medicine or needles. Therefore, a high index of suspicion for NTM infection is warranted in patients with cutaneous scalp abscess following scalp injections for hair loss.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0126","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T12:08:45Z","timestamp":1659960525000},"page":"592-594","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Multiple Scalp Abscesses due to Mycobacterium abscessus Infection Following Triamcinolone Injection in an Immunocompetent Person"],"prefix":"10.4269","volume":"107","author":[{"given":"Monalisa","family":"Mohanty","sequence":"first","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baijayantimala","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandra Sekhar","family":"Sirka","sequence":"additional","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasanta Raghab","family":"Mohapatra","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Infect","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1016\/j.jinf.2016.08.020","article-title":"The prevalence of nontuberculous mycobacterial infections in mainland China: systematic review and meta-analysis","volume":"73","author":"Yu","year":"2016"},{"key":"b2","series-title":"Emerg Infect Dis","first-page":"1638","article-title":"Mycobacterium abscessus complex infections in humans","volume":"21","author":"Lee","year":"2015"},{"key":"b3","series-title":"Arch Aesthetic Plast Surg","doi-asserted-by":"publisher","first-page":"3","DOI":"10.14730\/aaps.2020.02327","article-title":"Treatment strategy for skin and soft tissue infections caused by non-tuberculous mycobacteria following various procedures","volume":"27","author":"Bae","year":"2021"},{"key":"b4","series-title":"Clin Exp Dermatol","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1111\/ced.12900","article-title":"Cutaneous Mycobacterium abscessus infection following hair transplant","volume":"41","author":"Eustace","year":"2016"},{"key":"b5","series-title":"Clin Microbiol Infect","doi-asserted-by":"publisher","first-page":"1084","DOI":"10.1111\/j.1469-0691.2010.03395.x","article-title":"Clarithromycin and amikacin vs. clarithromycin and moxifloxacin for the treatment of post-acupuncture cutaneous infections due to Mycobacterium abscessus: a prospective observational study","volume":"17","author":"Choi","year":"2011"},{"key":"b6","series-title":"Clin Exp Dermatol","first-page":"1","article-title":"Mycobacterium abscessus skin infection after tattooing: first case report and review of the literature","volume":"221","author":"Bechara","year":"2010"},{"key":"b7","series-title":"Int J Tuberc Lung Dis","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.5588\/ijtld.14.0134","article-title":"Advances in the management of pulmonary disease due to Mycobacterium abscessus complex","volume":"18","author":"Koh","year":"2014"},{"key":"b8","series-title":"Semin Respir Crit Care Med","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1055\/s-0038-1651494","article-title":"Treatment of Mycobacterium abscessus complex","volume":"39","author":"Strnad","year":"2018"},{"key":"b9","series-title":"Clin Chest Med","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.ccm.2014.10.003","article-title":"Environmental sources of nontuberculous mycobacteria","volume":"36","author":"Falkinham","year":"2015"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/107\/3\/article-p592.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/107\/3\/article-p592.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/107\/3\/article-p592.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T12:29:17Z","timestamp":1663244957000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/107\/3\/article-p592.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,14]]},"references-count":9,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.22-0126","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,14]]}}}