Indexed with PubMed and Science Citation Index (E) 
Users online: 3992 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
   Next article
   Previous article 
   Table of Contents
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

  In this article
   To the Editor,
   Article Figures

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal


Year : 1996  |  Volume : 62  |  Issue : 2  |  Page : 133-134

Sporotrichoid mycobacteriosis

Correspondence Address:
Gurcharan Singh

Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 20948013

Rights and PermissionsRights and Permissions

How to cite this article:
Singh G, Malik A K, Rodrigues P. Sporotrichoid mycobacteriosis. Indian J Dermatol Venereol Leprol 1996;62:133-4

How to cite this URL:
Singh G, Malik A K, Rodrigues P. Sporotrichoid mycobacteriosis. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2020 Jan 22];62:133-4. Available from: http://www.ijdvl.com/text.asp?1996/62/2/133/4351

  To the Editor, Top

Reports on atypical mycobacterial infection of skin have been appearing with increasing frequency in medical literature.[1] The majority are description of solitary granulomatous lesions of skin. However in several instances lesions developed in an ascending proximal fashion strongly suggesting sporotrichosis.[2],[3] We report one such case of sporotrichoid mycobacteriosis.

A 37-year-old serving soldier presented with complaints of multiple nodules over right forearm of 6 months duration, appearing 3 weeks following trauma to right index finger. He had received pefloxacin therapy for a month, 3 months prior to presentation resulting in partial and temporary resolution of skin lesion. His trade involved grooming horses with history of frequent contact with mud and water. No significant past or family history was elicited.

General, physical and systemic examination revealed no abnormality. Dermatological examination revealed multiple, crusted erythematous mildly tender and indurated nodules and plaques varying in size from 0.5 to 3.0 cm in diameter in a linear distribution over extensor aspect of right forearm [Figure - 1]. No lymphatic cords or regional lymph nodes were palpable.

Routine haemogram, urinalysis, blood sugar, LFT and serum ceratinine were within normal limits, ESR was 15mm/lst hour, Mantoux test was positive (16mm). Blood STS and ELISA for HIV were nonreactive. Skin biopsy revealed dense mononuclear infiltrate in upper dermis with few Langhans type of giant cells. No AFB, fungus or LD bodies were seen. Cultures for fungus, Mycobacterium tuberculosis and atypical mycobacteria showed no growth. Complete resolution of skin lesions was evident after 3 months of minocycline therapy, which is efficaceous in atypical mycobacterial infections.[4]

Appearance of lesions in a sporotrichoid pattern following trauma, histopathological features, and response to minocycline therapy in a person coming in frequent contact with mud and water is suggestive of atypical mycobacterial (M marinum) infection in this case. Failure to culture organism could be due to pefloxacin therapy received prior to presentation, as quinolones are documented to have activity against atypical mycobacteria.[5]

  References Top

1.Huminer D, Pitlik SD, Block C, et al. Aquarium-borne Mycobacterium marinum skin infection. Arch Dermatol 1986;122:698-703.  Back to cited text no. 1  [PUBMED]  
2.Dickey RF. Sporotrichoid mycobacteriosis caused by M marinum (balnei). Arch Dermatol 1968;98:385-91.  Back to cited text no. 2  [PUBMED]  
3.Owens DW, McBride ME. Sporotrichoid cutaneous infection with Mycobacterium kansasii. Arch Dermatol 1969;100:54-8.  Back to cited text no. 3  [PUBMED]  
4.Loria PR. Minocycline hydrochloride teratment for atypical acid-fast infection. Arch Dermatol 1976;517-9.  Back to cited text no. 4    
5.Quinolone antibacterials. An update on their pharmacology and therapeutic use. Drugs 1994;47:877.  Back to cited text no. 5    


[Figure - 1]


Print this article  Email this article
Previous article Next article


Online since 15th March '04
Published by Wolters Kluwer - Medknow