To the Editor.—
Among the nontuberculous species of Mycobacterium isolated from cutaneous lesions, Mycobacterium haemophilum has received the least attention. Since first described in 1978,1 fewer than 20 cases have been reported worldwide. Clinical disease is usually associated with an underlying condition resulting in immunosuppression, and is characterized by cutaneous nodules or plaques on the extremities. The unique features that separate M haemophilum from other Mycobacterium are the requirement of hemin for growth, and an unusual antimicrobial susceptibility pattern. We report a case in a nonimmunosuppressed host where the organism was isolated on routine bacteriologic medium and the patient was successfully treated with ciprofloxacin.
Report of a Case.—
In August 1988, a 65-year-old white woman was evaluated for a scaly erythematous papular eruption on her right forearm (Fig 1) that developed postoperatively following coronary artery bypass surgery. The rash had been present for 4 months and was unresponsive to
McBride ME, Rudolph AH, Tschen JA, Cernoch P, Davis J, Brown BA, Wallace RJ. Diagnostic and Therapeutic Considerations for Cutaneous Mycobacterium haemophilum Infections. Arch Dermatol. 1991;127(2):276-277. doi:10.1001/archderm.1991.01680020148035