Skin granulomas due to Mycobacterium gordonae.
A 38-year-old woman presented with small, ulcerated, red or bluish nodules on the right hand, clinically resembling mycobacterial granulomas; these appeared a few months after a bite by a rat, while the patient was collecting frogs in a pond in the Belgian Ardennes. The histopathologic picture was compatible with a diagnosis of mycobacterial infection and rare acid-fast bacilli could be found. Repeated bacteriologic investigations were performed and these led to the identification of a strain displaying characteristics of Mycobacterium gordonae. The skin condition responded well to rifampicin (300 mg/day) within 6 months.
D000328:Adult; D005260:Female; D006099:Granuloma / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008826:Microbial Sensitivity Tests; D009164:Mycobacterium Infections / Q000473:pathology*; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D009170:Nontuberculous Mycobacteria / Q000187:drug effects / Q000302:isolation & purification; D012293:Rifampin / Q000627:therapeutic use; D012874:Skin Diseases, Infectious / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*
D012293:Rifampin