Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings

Author:

Tomas Xavier1,Pedrosa Margarita2,Soriano Alex3,Zboromyrska Yuliya4,Tudo Griselda4,Garcia Sebastian5,Pomes Jaime1

Affiliation:

1. Department of Radiology, Hospital Clinic, Universidad de Barcelona, Barcelona, Spain

2. Department of Radiology. Hospital Universitario Reina Sofia, Córdoba, Spain

3. Department of Infectious Diseases, Hospital Clinic, Universidad de Barcelona, Barcelona, Spain

4. Department of Microbiology, Hospital Clinic, Universidad de Barcelona, CRESIB, Barcelona, Spain

5. Department of Orthopaedics, Hospital Clinic, Universidad de Barcelona, Barcelona, Spain

Abstract

Mycobacterium marinum is an atypical mycobacterium that usually causes a solitary nodule on the hand (“fish tank granuloma”) or less commonly, secondary erythematous channels and nodules spread along lymphatic drainage of the extremity, mimicking sporothricoid skin lesions of nodular lymphangitis. This report presents a case of this rare entity, a nodular lymphangitis caused by Mycobacterium marinum. Multidetector computed tomography (MDCT) imaging was very useful in determining the morphology (cellulitis with a few small subcutaneous nodules and channels) and the extension of the lesion.

Publisher

SAGE Publications

Subject

Radiology Nuclear Medicine and imaging,Radiological and Ultrasound Technology

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