title: Osteomyelitis and skin ulcers caused by Mycobacterium szulgai in an AIDS patient.
abstract: Mycobacterium szulgai is a ubiquitious non-tuberculous mycobacterium causing infection in immunocompetent and immunocompromized patients. Clinically mimicking pulmonary tuberculosis in most cases described, rarely other manifestations occur. Here we report the case of an AIDS patient with osteomyelitis of the hand and toe, accompanied by multiple cutaneous ulcers of the chest and forearm. The case highlights the unusual combination of osteomyelitis and skin ulcers without pulmonary infection and describes the likely cutaneous route of infection in a patient who keeps tropical fish.
authors.affiliation: Institute of Hygiene and Microbiology, University of Würzburg, Josef-Schneider-Str 2, 97080 Würzburg, Germany. dtappe@hygiene.uni-wuerzburg.de
authors.forename: Dennis
authors.initials: D
authors.lastname: Tappe
authors.forename: Peter
authors.initials: P
authors.lastname: Langmann
authors.forename: Michael
authors.initials: M
authors.lastname: Zilly
authors.forename: Hartwig
authors.initials: H
authors.lastname: Klinker
authors.forename: Bernd
authors.initials: B
authors.lastname: Schmausser
authors.forename: Matthias
authors.initials: M
authors.lastname: Frosch
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000188:drug therapy; D009170:Nontuberculous Mycobacteria / Q000302:isolation & purification / Q000472:pathogenicity*; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D012883:Skin Ulcer / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents