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Am. J. Trop. Med. Hyg., 79(2), 2008, pp. 166-167
Copyright © 2008 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Mycobacterium marinum Presenting as Large Verrucous Plaques on the Lower Extremity of a South Pacific Islander

Joseph V. Lillis*, Kevin L. Winthrop, Clifton R. White, AND Eric L. Simpson
Department of Dermatology, Oregon Health Sciences University, Portland, Oregon; Departments of Infectious Diseases, Ophthalmology, and Public Health and Preventive Medicine, Oregon Health Sciences University, Portland, Oregon; Department of Dermatopathology, Oregon Health Sciences University, Portland, Oregon

 

ABSTRACT

Mycobacterium marinum is an environmental, nontuberculous mycobacteria found in fresh and salt water, causing disease in humans through traumatized skin. We describe a young, healthy South Pacific Islander with chronic, progressive large verrucous plaques on the left lower extremity, with cultures positive for M. marinum. This morphology, distribution, and disease course is likely representative of an atypical presentation of M. marinum infection in South Pacific Islanders.

Received February 26, 2008. Accepted for publication April 2, 2008.

Disclosure: The authors have no conflict of interest to disclose.

* Address correspondence to Joseph V. Lillis, Oregon Health Sciences University, Department of Dermatology, 3303 SW Bond Avenue, CH16D, Portland, OR 97239. E-mail: lillisj{at}ohsu.edu

Authors’ addresses: Joseph V. Lillis, Oregon Health Sciences University, Department of Dermatology, 3303 SW Bond Avenue, CH16D, Portland, OR 97239, Tel: 503-418-3376. Kevin L. Winthrop, Oregon Health and Sciences University, Departments of Infectious Diseases, Ophthalmology and Public Health and Preventive Medicine, 3375 SW Terwilliger Boulevard, Portland, OR 97239, Tel: 503-494-5496. Clifton R. White, Oregon Health Sciences University, Department of Dermatopathology, 3303 SW Bond Avenue, Portland, OR 97239. Eric L. Simpson, Oregon Health Sciences University, Department of Dermatology, 3303 SW Bond Avenue, CH16D, Portland, OR 97239, Tel: 503-494-3968, Fax: 503-494-6968, E-mail: simpsone{at}ohsu.edu.

Reprint requests: Joseph V. Lillis, Oregon Health Sciences University, Department of Dermatology, 3303 SW Bond Avenue, CH16D, Portland, OR 97239, E-mail: lillisj{at}ohsu.edu.






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Copyright © 2008 by the American Society of Tropical Medicine and Hygiene.