Imran Shoukat, Ahmed Saeed, Altaf Ahmed, Mabroor A Bhatty.
Marinum hand infection - A case report of an Atypical Mycobacterium.
J Pak Assoc Derma Jan ;9(4):44-8.

A 50 year old lady presented with 7 months history of an ulcerating, cutaneous lesion on the dorsum of middle finger, extending on to the dorsum of her left hand,on May 1999. There was no associated functional deformity or systemic manifestation. This lesion started as a small ulcer, which developed following a minor trauma on the dorsum of the right middle finger about 7 months back. The lesion continued to grow slowly and she visited various clinics and received multiple antibiotics. She was a housewife and used to regularly wash her clothes at home. She does give a history of a pond in her locality where fishing was done, however she denies any direct contact with aquatic life. She was seen in our department, where a high suspicion of an atypical mycobacterium marinum infection was aroused. Subsequently a tissue was taken from the lesion under local anaesthesia and sent for culture after informing the department of microbiology for specific cultures. The tissue showed growth of Mycobacterium marinum for which a successful therapy of combination of ciprofloxacin and rifampicin was started.

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