TY - JOUR T1 - Sporotrichoid Cutaneous Infection by Mycobacterium Haemophilum in an AIDS Patient JO - Actas Dermo-Sifiliográficas T2 - AU - Cameselle,D. AU - Hernández,J. AU - Francès,A. AU - Montenegro,T. AU - Cañas,F. AU - Borrego,L. SN - 15782190 M3 - 10.1016/S1578-2190(07)70424-9 DO - 10.1016/S1578-2190(07)70424-9 UR - https://www.actasdermo.org/en-sporotrichoid-cutaneous-infection-by-mycobacterium-articulo-S1578219007704249 AB - We report a case of primary cutaneous infection by Mycobacterium haemophilum after the bite of an aquarium fish in a severely immunodepressed AIDS patient. Clinical features consisted in nodular and ulcerative lesions that followed a sporotrichoid pattern. Histological study of nodular lesions showed a granulomatous dermatitis with numerous acid-fast bacilli. The mycobacterium was identified 3 months later by genetic hybridization from a cultive in solid medium. Combined therapy with isoniazid, rifampin, clarithromycin, ethambutol, amikacin and ciprofloxacin resulted in complete resolution of the lesions. Infection by Mycobacterium haemophilum is a rare mycobacteriosis that usually affects immunodepressed patients. The most common clinical manifestations are cutaneous lesions but the development of sporotrichoid nodular lymphangitis is exceptional. ER -