Cutaneous Mycobacterium haemophilum infection in a kidney transplant recipient after acupuncture treatment

P>Mycobacterium haemophilum is a slow-growing nontuberculous mycobacterium that can cause disease in both immunocompetent and immunocompromised patients. The most common clinical presentations of infection are the appearance of suppurative and ulcerated skin nodules. For the diagnosis, samples collected from suspected cases must be processed under the appropriate conditions, because M. haemophilum requires lower incubation temperatures and iron supplementation in order to grow in culture. In this case report, we describe the occurrence of skin lesions in a kidney transplant recipient, caused by M. haemophilum, associated with acupuncture treatment. The diagnosis was established by direct smear and culture of material aspirated from cutaneous lesions. Species identification was achieved by characterization of the growth requirements and by partial sequencing of the hsp65 gene. The patient was successfully treated with clarithromycin and ciprofloxacin for 12 months. Considering that the number of patients receiving acupuncture treatment is widely increasing, the implications of this potential complication should be recognized, particularly in immunosuppressed patients

Some epigraphic and archaeological documents from Western Anatolia during the late Ottoman period

The focus of this article is on the post-medieval archaeological heritage of Izmir, especially during the 19th century. The material selected consists of Armenian inscriptions from Izmir and its close environs, since there is a paucity of archaeological scholarship for the Armenian community of the Ottoman Empire. The paper is based on the survey of sixteen Armenian inscriptions across nine locations in and around Izmir, with discussion of the Armenian material culture of the Late Ottoman Period, as well as transcription and translation of these inscriptions, although a history of Armenia in general is outside the scope of the article. As Armenian grave markers can be taken as active interventions in social relations, this paper offers a potential for reconstructing the social complexities of late Ottoman Izmir