title: Fish tank granuloma: misdiagnosed as cutaneous leishmaniasis.
abstract: Mycobacterium marinum is an atypical mycobacterium that causes a skin infection known as fish tank granuloma or swimming pool granuloma affecting people who are exposed to aquatic environments. In general, it is managed medically with antimicrobials and variable treatment protocols. Here, we report a Saudi gentleman who acquired this infection in Thailand and was misdiagnosed as cutaneous leishmaniasis. After establishing the correct diagnosis, treatment with minocycline and trimethoprim-sulfamethoxazole resulted in rapid healing.
authors.affiliation: Division of Dermatology, Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
authors.forename: Rayan
authors.initials: R
authors.lastname: AlKhodair
authors.forename: Sultan
authors.initials: S
authors.lastname: Al-Khenaizan
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004338:Drug Combinations; D005399:Fishes / Q000382:microbiology*; D006686:Hobbies; D006801:Humans; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis*; D008297:Male; D008911:Minocycline / Q000627:therapeutic use; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy; D019910:Mycobacterium marinum; D013411:Sulfadiazine / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use; D014375:Tuberculoma / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014382:Tuberculosis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D000096926:Benzenesulfonamides
chemical_list: D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D008911:Minocycline; D013411:Sulfadiazine; D014295:Trimethoprim; C024873:sulfadiazine, trimethoprim drug combination; D000096926:Benzenesulfonamides