DOI: 10.36347/sjams.2019.v07i05.009

Pages: 1716-1718

Non-Tuberculous mycobacterial (NTM) infections causing cutaneous abscesses are on the rise, often misdiagnosed for common bacterial cause and treated with systemic antibiotics to which they do not respond, leading to recurrences even after incision and drainage. This is a case report of a 65 year old diabetic patient with recurrence of anterior abdominal wall abscess and draining sinuses around insulin injection sites even after surgical drainage and oral antibiotic treatment. Histopathological examination of excised tissue showed tubercular granulomas and microscopy showed presence of occasional Acid Fast Bacilli in the sinus discharge. Long term treatment with appropriate drugs for NTM, lead to regression and healing of the recurrent cutaneous lesions.