Image in medicine
Skin infection by Mycobacterium marinum
Infección cutánea por Mycobacterium marinum
a ABS Dr. F. Benito-Rieral, Corporació de Salut del Maresme i la Selva, Lloret de Mar, Girona, Spain
b Servicio de Dermatología, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
c Servicio de Anatomía Patológica, Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
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Consulted the doctor presenting multiple inflammatory nodules, with central ulcers on the back of the right hand and forearm, with sporotrichoid distribution with 15 days’ evolution; after presenting a periungal wound in contact with stagnant water (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A biopsy and culture of the wound was carried out. The histological study provided evidence of a granulomatous epithelioid cellular reaction accompanied by neutrophils (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). There was no evidence of pathogen germs in the biopsy, the Ziehl-Neelsen and PAS staining being negative. Empirical treatment was initiated with minocycline 100<span class="elsevierStyleHsp" style=""></span>mg/12<span class="elsevierStyleHsp" style=""></span>h. The results of the culture were <span class="elsevierStyleItalic">Mycobacterium marinum</span> positive. 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