Disseminated Cutaneous Infection Caused by Mycobacterium avium Complex

To the Editor.—  Mycobacterium avium complex is the most common cause of systemic bacterial infection in patients with the acquired immunodeficiency syndrome,¹ as well as the most common organism associated with disseminated nontuberculous mycobacterial infection.²Cutaneous involvement, although uncommon, is well documented. It has been reported as a primary process, as direct extension from underlying tissue, and as a manifestation of disseminated disease. We describe an unusual case of a previously healthy girl who developed widespread cutaneous lesions associated with osteomyelitis without apparent visceral involvement and in whom Mavium complex was isolated.

Report of a Case.—  An 11-year-old white girl was seen who was healthy and grew normally until the age of 2 years, when she had fractures of several metatarsal bones when her right foot was caught in a car door. Several weeks later, she developed swelling of the extremity, and, on removal of the cast, an ulcerated