swimming pool granuloma…

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aquarium granuloma, a swimming pool granuloma, chronic skin infection, bacteria mycobacterium marinum, a swimming pool granuloma results, water containing an infectious organism, mycobacterium marinum, enters a break, in the skin, a localized infection, a granuloma results after, 3 weeks, lesions appear, reddish bumps, papules, slowly enlarge into purplish nodules, elbows, fingers, the hands, knees, the most common sites affected, nodules, break down, leave an open sore, spread up the limb, history of exposure to swimming pools, salt water aquarium, ocean fish, single, multiple red to reddish-purple bumps, occur frequently on the hands, elbows, knees, legs, areas of trauma, though swimming pool granulomas have a characteristic appearance, a skin biopsy, culture, necessary to confirm the diagnosis, a ppd tuberculin skin test, positive, oral antibiotics, needed to clear this infection, choices include minocycline, bactrim, clarithromycin, levofloxacin, several months of treatment, swimming pool granulomas, treated completely, antibiotics, joint, bone infections occur, patients, defective immune systems, have longer, complicated cases, develop reddish bumps on skin, not clear, home treatment, avoid contact, contaminated water, wear gloves, wash thoroughly, cleaning aquariums.