Chemotherapy for Aquarium Granuloma

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Abstract
MYCOBACTERIUM BALNEI, originally recognized as a pathogen to the abraded skin of swimmers in saltbrackish water and pools, has recently been found a hazard to fisherman and to those involved with fish tanks.1The following cases emphasize the hazard associated with aquariums and further substantiate the role of chemotherapy in the treatment of extensiveM balneiinfections. Report of Cases Case 1.— A 61-year-old white woman had abraded her fingers numerous times over the past 20 years while cleaning a home aquarium. In December 1971, a tender inflamed, indurated lesion developed on her right thumb, which was excised in March 1972. Progressive lesions developed on the right forearm (Figure). Some of these were excised and drained, and on pathological examination showed granulomas but no organisms. Sporotrichosis was suspected, but the lesions were unresponsive to iodides, and subsequently a carpal tunnel syndrome developed. Evaluation and culture performed elsewhere yieldedM

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