Severe sporotrichoid infection with Mycobacterium szulgai.
Mycobacterium szulgai is a nontuberculous, acid-fast bacillus or atypical mycobacteria, which prior to 1972 was not thought of as a pathogen. Since then most cases reported in the literature have been of pulmonary disease with only a few case reports of cutaneous disease. Our patient, who had an underlying, uncategorized, immunosuppressive condition, presented with multiple severe ulcers spreading proximally up the arms in a sporotrichoid pattern with more scatttered lesions on his legs. He made a full recovery with appropriate antimicrobial treatment.
Kapur
N
N
Department of Haematology, The Whittington Hospital, HighGate Hill, London, N19 5NF, UK. natashakapur3@hotmail.com
Schuster
H
H
Parker
N
N
Kelsey
M C
MC
Goldsmith
P C
PC
D000328:Adult; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D014456:Ulcer / Q000382:microbiology* / Q000473:pathology