title: Disseminated Mycobacterium haemophilum infection in two patients with the acquired immunodeficiency syndrome.
abstract: In two patients with the acquired immunodeficiency syndrome (AIDS), multiple erythematous cutaneous lesions developed, revealing acid-fast organisms on Fite's stain. Initial culture results on the first patient were negative; however, repeat cultures on hemin-enriched media were positive for Mycobacterium haemophilum. Despite antimycobacterial therapy, lesions persisted until the patients' death. M. haemophilum should be a diagnostic consideration when smears of peripheral (especially skin) lesions from AIDS patients show acid-fast organisms. Cultures in such patients should be done with iron hemin- or ferric ammonium citrate-enriched media.
authors.affiliation: Clinical Center, and National Institute of Allergy and Infectious Diseases, Bethesda, Maryland.
authors.forename: P L
authors.initials: PL
authors.lastname: Rogers
authors.forename: R E
authors.initials: RE
authors.lastname: Walker
authors.forename: H C
authors.initials: HC
authors.lastname: Lane
authors.forename: F G
authors.initials: FG
authors.lastname: Witebsky
authors.forename: J A
authors.initials: JA
authors.lastname: Kovacs
authors.forename: J E
authors.initials: JE
authors.lastname: Parrillo
authors.forename: H
authors.initials: H
authors.lastname: Masur
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D006801:Humans; D008297:Male; D009164:Mycobacterium Infections / Q000209:etiology*; D009165:Mycobacterium Infections, Nontuberculous / Q000209:etiology*; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification; D012874:Skin Diseases, Infectious / Q000209:etiology*