[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.65.227. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 1974

Mycobacterium marinum Infection

Author Affiliations

Hayward, Calif

Arch Dermatol. 1974;109(4):571. doi:10.1001/archderm.1974.01630040075023

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  We recently saw a 41-year-old man with a sporotrichoid Mycobacterium marinum (balnei) infection of the right hand and arm. The initial inoculation occurred on the right third dorsal finger and was temporally related to an abrasion sustained when the patient was cleansing his aquarium. Seven festering granulomas in the lymphatic distribution of the right arm soon developed. A biopsy specimen revealed a noncaseating tuberculoid granuloma. Treatment with potassium iodide administered orally, combination isoniazid and ethambutol administered orally, locally applied heat, intralesionally given steroids, and liquid nitrogen cryotherapy was unsuccessful, corresponding to the results of Adams et al (JAMA 211:457, 1970).Because of the well-recognized use of steroids in conjunction with antituberculous agents in the treatment of pulmonary tuberculosis, we placed the patient on isoniazid, 300 mg daily, ethambutol 1,000 mg daily, and triamcinolone, 16 mg three times daily. Dramatic resolution of the lesions began within one week

First Page Preview View Large
First page PDF preview
First page PDF preview
×