Indirect infection has also been described due to a child's bath that was used to clean out a fish tank ( 16, 17 ). The patient described in this report was occupationally exposed to fish. [ncbi.nlm.nih.gov]

Persons with open skin lesions or immunosuppression should avoid cutaneous contact with fish tanks. [academic.oup.com]

[…] that which causes “Fish TB” and fish tank granuloma. [nippyfish.net]

Case presentation : A 27-year-old man was presented with a history of swelling and exudative erythematous lesions and pustules of the right forearm. He worked as a laborer at an aquarium store. [ncbi.nlm.nih.gov]

Despite two courses of treatment with antimicrobial agents and nonsteroidal antiinflammatory drugs, the initial inflammation and tenderness of her thumb had gradually progressed to diffuse swelling, tenderness, and stiffness of her entire left hand, wrist [nejm.org]

Swimming Pool Granuloma due to Mycobacterium marinum may lead to the following complications: Tenosynovitis: It is an inflammation of the sheath that covers the tendons, resulting in pain and swelling in the affected areas. [dovemed.com]

Procop, one of the most outstanding young clinical pathologists in medical microbiology in American medicine, shares his vision about how new technologies may be used to rapidly identify pathogenic organisms and detect resistance to treatment regimens [books.google.com]

[…] evaluation of medical history along with a thorough physical exam Skin test to rule-out tuberculous infection Tissue biopsy of the affected region: A small sample of tissue is taken and sent to the laboratory for examination under the microscope by a pathologist [dovemed.com]

Always send a thorough history with ordered differential diagnosis to the pathologist so that he or she is prompted to order appropriate stains. [consultant360.com]

KK is a pathologist, who assessed pathological findings. TK, TS, HN, ST, SO, and TB supervised study and made critical revisions for important intellectual content. All the authors approved the final version as submitted to the journal. [journals.lww.com]

In addition, although recent studies have emphasized the influence of asymptomatic infection with environmental nontuberculous mycobacteria (NTM), such as Mycobacterium avium complex (MAC), on the tuberculin skin test [ 11 ], detailed data have not been [academic.oup.com]

Case presentation A 51 year-old male patient, who worked as administrative assistant, reported an asymptomatic lesion on the fifth right finger with five years of evolution. The lesion initially presented as small papules, followed by scaling. [scielo.br]

Results of gram stain and routine culture from biopsy of skin lesions in both blood agar and McConckey agar were negative. [ncbi.nlm.nih.gov]

Persons with open skin lesions or immunosuppression should avoid cutaneous contact with fish tanks. [academic.oup.com]

Treatment typically is continued for one to two months after resolution of skin lesions. [aafp.org]

Surgical removal of infected lymph nodes and aggressive debridement of infected skin lesions is sometimes necessary. In severe cases, skin grafts may be necessary to repair the surgical wound. [dermnetnz.org]

About 2 to 8 weeks after inoculation, a solitary papule forms that often progresses to a granulomatous nodule or multiple papules. [consultant360.com]

The disease begins as a violaceous papule or nodule ( 7, 18 ). It can also be presented as a psoriasiform or verrucous plaque, usually on the hands, feet, elbows or knees, at the site of trauma, about 2 to 3 weeks after inoculation ( 7, 18 ). [ncbi.nlm.nih.gov]

[…] crusted ulcers; also papulopustules, cellulitis or spreading infection resembling sporotrichosis Rarely, squamous cell carcinoma may arise in a chronic Buruli ulcer Clinical images Images hosted on other servers: Swimming pool granuloma Swollen, red papules [pathologyoutlines.com]

The main symptom is a reddish bump ( papule ) that slowly grows into a purplish and painful nodule. The elbows, fingers, and back of the hands are the most commonly affected body parts. The knees and legs are less commonly affected. [medlineplus.gov]

Including our index case, all 6 cases presented with multiple cutaneous and subcutaneous nodules that had spread locally in the involved extremity. [onlinelibrary.wiley.com]

nodules Atypical mycobacterial infection See more images of atypical mycobacterial infections ... [dermnetnz.org]

•Nocardiosis, which is caused by a gram-positive, filamentous, acid-fast bacteria and presents as tender subcutaneous nodules and nonhealing ulcers after traumatic inoculation with contaminated soil. 4 •Leishmaniasis, which is caused by an intracellular [consultant360.com]

Lesions present as firm, painless, subcutaneous nodules that gradually enlarge and suppurate, then form ulcers and sinus tracts in overlying skin. Typical ulcers have undermined edges and a floor of granulation tissue. [patient.info]

About 4 weeks later, several subcutaneous nodules both distal and proximal to [below and above] the site of the laceration developed.” [nippyfish.net]

[…] healthy young patients Severe immunosuppression, especially AIDS, may cause disseminated skin and soft tissue lesions Often the cause of wound and surgical-site infections from contaminated water sources Causes a non-healing ulcerative skin lesion, furunculosis [dermnetnz.org]

Besides, cutaneous lesions are generally nonspecific and are often initially misdiagnosed as pyoderma, furunculosis, or even sporotrichosis [20] – [22]. [journals.plos.org]

Diagnostic assessment For diagnostic testing, a small sample of one of the patient’s skin ulcers was obtained and sent for histopathologic analysis; the granulomas confirmed the diagnosis of M. marinum. [medcraveonline.com]