title: Chronic leg ulcer caused by Mycobacterium immunogenum.
abstract: Rare tropical skin diseases are seen more frequently in Western countries because of the increased popularity of visiting tropical regions. A 55-year-old white man developed a painless leg ulcer after traveling in Guatemala and Belize. A mycobacterium was cultured from a biopsy specimen and was identified as Mycobacterium immunogenum by 16S recombinant deoxyribonucleic acid sequence analysis. The leg ulcer healed after 6 months of compression therapy and hydrocolloids; a hypopigmented depressed scar remained.
authors.affiliation: Department of Dermatology, Academic Medical Centre, University of Amsterdam, The Netherlands.
authors.forename: Miriam A M
authors.initials: MA
authors.lastname: Loots
authors.forename: Menno D
authors.initials: MD
authors.lastname: de Jong
authors.forename: Dick
authors.initials: D
authors.lastname: van Soolingen
authors.forename: José C F M
authors.initials: JC
authors.lastname: Wetsteyn
authors.forename: William R
authors.initials: WR
authors.lastname: Faber
mesh_terms: D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy; D019911:Mycobacterium ulcerans / Q000187:drug effects / Q000302:isolation & purification* / Q000472:pathogenicity; D010406:Penicillins / Q000627:therapeutic use; D014195:Travel
chemical_list: D010406:Penicillins