{
  "abstract": "We report a case of a patient in her 50s who first presented with cervical lymphadenopathy and later developed a slowly progressing facial lesion. After an initial lymph node biopsy, a diagnosis of cutaneous sarcoidosis was made and she was treated with immunosuppressive therapy. As the facial lesion continued to progress, a skin biopsy was performed which identified Mycobacterium gordonae. In retrospect, this organism had been grown on liquid culture from the first lymph node biopsy but was dismissed as a contaminant. 15 years after the first onset of symptoms, she was commenced on multidrug antibiotic therapy, resulting in a marked improvement. This case underscores the need to interpret isolation of non-tuberculous mycobacteria in the context of clinical findings and to reconsider established diagnoses when the condition of the patient worsens.",
  "authors": [
    {
      "affiliations": [
        "Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"
      ],
      "name": "Claudia Fowler-Williams"
    },
    {
      "affiliations": [
        "Microbiology, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"
      ],
      "name": "Jasmine Buck"
    },
    {
      "affiliations": [
        "Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"
      ],
      "name": "Hem Rai"
    },
    {
      "affiliations": [
        "Respiratory, Frimley Park Hospital NHS Foundation Trust, Frimley, UK"
      ],
      "name": "Helen Powell"
    }
  ],
  "title": "Facial lesion caused by Mycobacterium gordonae infection",
  "uid": "dd09a31b-cec6-561a-98ed-7ca894ceb2c2"
}