FISH TANK GRANULOMA IN A 14-MONTH-OLD GIRL

A 14-month-old girl developed a persistent ulcerated nodule on her rig ht lower leg associated with further nodules along the thigh. A clinic al diagnosis of fish tank granuloma was suspected because of tropical fish tanks at home. The diagnosis was confirmed when Mycobacterium mar inum was isolated from low-temperature culture of skin tissue. The chi ld made a complete recovery following treatment with rifampicin for 6 months despite in vitro sensitivity tests reporting resistance. M. mar inum infection is uncommon in children, but the diagnosis should be co nsidered in children presenting with chronic skin lesions spreading in a sporotrichoid pattern.