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December 1960

Cutaneous Infection with Atypical Mycobacterium: Report of a Case

Author Affiliations

Miss.; New Orleans

From the Department of Dermatology of Louisiana State University School of Medicine, and the Department of Pathology of Tulane University School of Medicine.

Arch Dermatol. 1960;82(6):918-920. doi:10.1001/archderm.1960.01580060072009

Human infection caused by atypical Mycobacteria (that is, acid-fast bacilli other than the usual human, bovine, and avian tubercle bacillus and the bacillus of leprosy) is not common. Such atypical acid-fast infections, in fact, are more commonly pulmonary than cutaneous.1 Observation of a primary skin infection caused by an atypical Mycobacterium prompts this report.

Report of Case  The patient, a 39-year-old white woman, was first seen Nov. 27, 1957, 2 days after she had been kicked in the upper mid-portion of the left thigh by a cow. Examination revealed a large hematoma. No active treatment was deemed necessary.When the patient returned Dec. 16, 1957, an abscess was present at the site of the previous hematoma. It was treated by incision and drainage, and oral tetracycline. Examination on Dec. 22 suggested that the infection had been cured.The patient returned Jan. 10, 1958, with 3 tender, inflammatory, fluctuant, subcutaneous

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