Mycobacterium marinum infection in Child
Patients with AIDS, organ transplant recipients, and patients on chronic steroids may occasionally develop disseminated infections to the skin, bone marrow, and joints, leading to synovitis and arthritis.
A31.1 – Cutaneous mycobacterial infection
58869008 – Mycobacterium marinum
- Other infections such as sporotrichosis, blastomycosis, coccidioidomycosis, nocardiosis, tularemia, cutaneous tuberculosis, leishmaniasis (Old World and New World), and actinomycosis may have a similar lymphangitic spread from cutaneous inoculation. Exposure and travel history are key for diagnosis.
- Cellulitis has a background of erythema and a more rapid onset and spread.
- Cutaneous lymphoma may have associated fevers and weight loss.
- Bacterial abscess has an acute onset.
- Pyoderma gangrenosum bleeds easily and appears vascular.
- Vasculitis does not usually have an exophytic growth pattern.
- Granuloma annulare rarely ulcerates.
- Hypertrophic lichen planus is highly pruritic and usually located on the shins.
- Foreign body reaction to sea urchin spines or barnacles.
- Cutaneous anthrax
- Majocchi granuloma