Mycobacterium marinum and verrucous lesion that simulates squamous cell carcinoma
Keywords:
Mycobacterium merium, squemass cell carcinom, swimming pools, wartsAbstract
A 48-year-old man was evaluated in this hospital because of a lesion in the dorsum of the third finger of the right hand that had progressed in the last two years after a slight trauma. The patient refers he works with fresh and sea water fish aquariums. The first medical impression was a common wart, treated with electrofulguration. After some time there is recurrence of the lesion, this time with small satellite lesions. The diagnosis are squamous cell carcinoma, common wart, verrucous tuberculosis and acquarium granuloma. The biopsy shows chronic granulomatous inflammation, that is negative for Ziehl Neelsen and periodic acid Shiff staining. The culture for mycobacteriae is positive for Micobacterium marinum. Treatment was given with trimetroprim/sulphametoxazol during six months and after two months the lesion disappeared. After nine months of observation the patient is asymptomatic.
Author Biographies
Blanca Lilia Lesmes
Dermatólogas, Bogotá, D.C., Colombia
Ana Francisca Ramírez
Dermatólogas, Bogotá, D.C., Colombia
Mariam Rolon, Instituto Nacional de Cancerología
Instituto Nacional de Cancerología E.S.E., Clínica de Piel, Bogotá, D.C., Colombia
Elvira Castro
Patóloga, Bogotá, D.C., Colombia
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