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Correspondence
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Volume 329:582-583 August 19, 1993 Number 8
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Mycobacterium ulcerans and Osteomyelitis

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 by Hofer, M.
To the Editor: In their report in the April 8 issue, Hofer et al. describe disseminated osteomyelitis due to Mycobacterium ulcerans infection after a snakebite1. We do not believe that the authors have unambiguously established M. ulcerans as the infecting organism.

M. haemophilum has been reported to cause lymphadenitis and skin lesions in immunocompetent patients. In immunocompromised patients, disseminated infections involving the skin, subcutaneous tissues, bones, and joints have been described2,3,4.

Culture medium supplemented with iron is essential for growing M. haemophilum in vitro, and this requirement is characteristic of the species. Neither medium used by Hofer et . . . [Full Text of this Article]

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