Volume 79, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


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 . This morphology, distribution, and disease course is likely representative of an atypical presentation of infection in South Pacific Islanders.


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  1. Hautmann G, Lotti T, 1994. Atypical mycobacterial infections of the skin. Dermatol Clin 12 : 657–668.
  2. Aubry A, Chosidow O, Caumes E, Robert J, Cambau E, 2002. Sixty-three cases of Mycobacterium marinum infection: clinical features, treatment, and antibiotic susceptibility of causative isolates. Arch Intern Med 162 : 1746–1752.
  3. Lee MW, Brenan J, 1998. Mycobacterium marinum: chronic and extensive infections of the lower limbs in South Pacific Islanders. Australas J Dermatol 39 : 173–176.
  4. Aubry A, Jarlier V, Escolano S, Truffot-Pernot C, Cambau E, 2000. Antibiotic susceptibility pattern of Mycobacterium marinum. Antimicrob Agents Chemother 44 : 3133–3136.

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  • Received : 26 Feb 2008
  • Accepted : 02 Apr 2008

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