Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis

A 50-year-old male was seen in the infectious disease clinic with a 3 month history of multiple non-healing ulcers on his left arm. He found it difficult to flex this fifth and fourth digit but had no other associated symptoms. He was systemically well. Biopsies were taken for histological examinati...

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Main Authors: Sinead McKiernan, Fiona McGill, Hugh McGann
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Clinical Infection in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590170223000146
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author Sinead McKiernan
Fiona McGill
Hugh McGann
author_facet Sinead McKiernan
Fiona McGill
Hugh McGann
author_sort Sinead McKiernan
collection DOAJ
description A 50-year-old male was seen in the infectious disease clinic with a 3 month history of multiple non-healing ulcers on his left arm. He found it difficult to flex this fifth and fourth digit but had no other associated symptoms. He was systemically well. Biopsies were taken for histological examination and microbiological culture. His markers of inflammation were normal, however, a routine HIV test was unexpectedly positive.
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spelling doaj.art-4e43a1ef7c9746d3a5d108865e9fda3d2023-08-01T04:09:04ZengElsevierClinical Infection in Practice2590-17022023-07-0119100231Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosisSinead McKiernan0Fiona McGill1Hugh McGann2Corresponding author at: Department of Clinical Microbiology, Kelvin Building Laboratories, Royal Hospitals Site, Grosvenor Road, Belfast, Northern Ireland BT12 6BA, United Kingdom.; Department of infectious disease, Leeds Teaching hospitals NHS Trust, United KingdomDepartment of infectious disease, Leeds Teaching hospitals NHS Trust, United KingdomDepartment of infectious disease, Leeds Teaching hospitals NHS Trust, United KingdomA 50-year-old male was seen in the infectious disease clinic with a 3 month history of multiple non-healing ulcers on his left arm. He found it difficult to flex this fifth and fourth digit but had no other associated symptoms. He was systemically well. Biopsies were taken for histological examination and microbiological culture. His markers of inflammation were normal, however, a routine HIV test was unexpectedly positive.http://www.sciencedirect.com/science/article/pii/S2590170223000146Mycobacterium marinumHIVIRISSkin infectionNon-tuberculosis mycobacteriumCase report
spellingShingle Sinead McKiernan
Fiona McGill
Hugh McGann
Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
Clinical Infection in Practice
Mycobacterium marinum
HIV
IRIS
Skin infection
Non-tuberculosis mycobacterium
Case report
title Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
title_full Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
title_fullStr Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
title_full_unstemmed Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
title_short Image challenge: A sweet smelling rose or something fishier afoot? A man, an unusual rash and an unexpected diagnosis
title_sort image challenge a sweet smelling rose or something fishier afoot a man an unusual rash and an unexpected diagnosis
topic Mycobacterium marinum
HIV
IRIS
Skin infection
Non-tuberculosis mycobacterium
Case report
url http://www.sciencedirect.com/science/article/pii/S2590170223000146
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AT hughmcgann imagechallengeasweetsmellingroseorsomethingfishierafootamananunusualrashandanunexpecteddiagnosis