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Mycobacterium marinum is the cause of swimming-pool granuloma, which most commonly occurs in patients exposed to fish or fish tanks. Mycobacterium marinum contains porphyrins (coproporphyrin III),¹ which are activated by appropriate wavelengths of light leading to the development of various cytotoxic compounds that damage essential cellular components. We report a case of M marinum infection treated with blue light, red light, and photodynamic therapy (PDT).

Report of a Case

A 59-year-old woman was referred to our department with a 1.5-year history of erythematous granuloma on the dorsal surface of her left fifth finger after a burn (Figure 1A). The patient regularly had contact with fish tanks.

Figure appears in full text version. Figure 1. Mycobacterium marinum infection on the dorsal surface of the left fifth finger. A, Before treatment, the proximal part of the lesion shows nodules and central crusting, and the distal part shows more superficial granulomas. B, After blue light treatment, the distal superficial part of . . . [Full Text of this Article]

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AUTHOR INFORMATION
Stine Regin Wiegell, MD; Brian Kongshoj, MSc; Hans Christian Wulf, MD

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