Case Report

Clinical Implications for the Timely Diagnosis of Mycobacterium marinum in the Age of Biologic Therapy: A Case Report and Review of the Literature

Figure 2

Sporotrichoid spreading of M. marinum via lymphatic and myotendinous spreading in disseminated disease. (a) Unilateral granulomatous disease with soft tissue swelling due to lymphatic obstruction, (b) radiograph demonstrating unilateral left soft tissue swelling in absence of erosive disease, (c) dorsal aspect of distal left forearm with visible nodules, and (d) MRI demonstrating myotendinous necrotic granuloma (white circle) in distal aspect of extensor carpi ulnaris.
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