Fish tank granuloma in a 14-month-old girl.
A 14-month-old girl developed a persistent ulcerated nodule on her right lower leg associated with further nodules along the thigh. A clinical diagnosis of fish tank granuloma was suspected because of tropical fish tanks at home. The diagnosis was confirmed when Mycobacterium marinum was isolated from low-temperature culture of skin tissue. The child made a complete recovery following treatment with rifampicin for 6 months despite in vitro sensitivity tests reporting resistance. M. marinum infection is uncommon in children, but the diagnosis should be considered in children presenting with chronic skin lesions spreading in a sporotrichoid pattern.
Speight
E L
EL
Department of Dermatology, University Hospital, Queen's Medical Centre, Nottingham, England.
Williams
H C
HC
D000818:Animals; D005260:Female; D005399:Fishes / Q000382:microbiology; D006099:Granuloma / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D007223:Infant; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000635:transmission; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000635:transmission