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Figure 1. A 35-year-old laboratory researcher who was working with Mycobacterium marinum abraded the back of her left hand, and a tender, erythematous nodule developed (Panel A). Over the next few days, small amounts of yellowish fluid were discharged from the lesion and a line of tender, nodular lymphangitis appeared, extending from the medial aspect of the elbow approximately one third of the way up the arm. The nodules were approximately 0.5 cm in diameter, and there was no erythema of the surrounding skin. Gram's staining and acid-fast staining of the discharge from the lesion revealed inflammatory cells but . . . [Full Text of this Article] |