Mycobacterium fortuitum-induced surgical wound infection - a case report

A 53-year-old healthy lady who underwent a planned laparoscopic surgery for the removal of gall stones presented with mildly tender fluctuant swelling along the line of surgical scar which did not respond in spite of various antibiotics. Gram smear and bacterial culture did not yield any organism. Diagnosis of atypical mycobacteria rapid grower [Mycobacterium chelonae-fortuitum complex] was made which was confirmed later to be M. fortuitum. This case highlights the importance of strict aseptic precautions even during the minor procedures

Piebaldism and vitiligo in two brothers

Piebaldism is an autosomal dominant uncommon [<1 in 20,000] congenital pigmentary disorder. Depigmented patches are present since birth. They usually remain unchanged throughout life. Vitiligo is its closest differential diagnosis. We report a unique family in which these two dissimilar depigmentations, i.e. piebaldism and vitiligo [with nevus depigmentosus], were noted in two brothers. To the best of our knowledge, this is the first report of this presentation in the literature