MEDizzy
MEDizzy
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKHabout 1 year ago
Painful Nodules on the Arms

Painful Nodules on the Arms

A 63-year-old woman presented to an outpatient clinic with an 8-week history of nodules on her arms. She recalled cutting her thumbs while cleaning fish that she had purchased at a seafood market in preparation for a meal, and the lesions began to develop 6 weeks later. She had no fevers. Four weeks before presentation, she had been evaluated at another clinic, where she received treatment with itraconazole for suspected infection with Sporothrix schenckii; no improvement was seen. Physical examination at the current clinic revealed painful pink nodules and ulcerations with a hemorrhagic crust on both arms (Panel A; Panel B is a close-up of the right forearm). A biopsy specimen was obtained and revealed multiple granulomas. Cultures grew Mycobacterium marinum, a nontuberculous mycobacterium that is found in aquatic environments. Infections typically result from exposure to contaminated water when there are breaks in the skin. Itraconazole was stopped, and the patient received treatment with moxifloxacin, rifampin, and clarithromycin for 6 months. She had complete resolution of the infection. At a follow-up visit 1 year later, the nodules had resolved but scarring remained.

5
Other commentsSign in to post comments. You don't have an account? Sign up now!
Related posts
โ€Œ
HypocalcemiaMarfan syndromePhenylketonuriaWilson's diseaseNeimann picks diseaseSymptoms of neimann pick diseaseThe 29th World Congress on Nutrition and Food Sciences, held on September 15-16, 2025, in Amsterdam, Netherlands, was a landmark event in the fields of nutrition and food sciences. This congress gathered leading experts, researchers, policymakers, and practitioners from across the globe, providing a vibrant platform for the exchange of ground breaking research, innovative ideas, and best practices in nutrition and food science. With a focus on tackling contemporary challenges in health and nutrition, the congress covered a wide range of topics, from the latest advancements in nutritional science to strategies for promoting sustainable food systems and preventing chronic diseases. Attendees engaged in thought-provoking discussions, participated in interactive workshops, and had ample opportunities to network with peers across diverse disciplines. Theme: Nutrition for a Resilient World: Advances, Challenges and OpportunitiesKolkata's Best Medicine Wholesalers Jaiswal Pharma At Jaiswal Pharma, we take pride in our unwavering commitment to quality. Our extensive range of products includes both prescription and over-the-counter medications, ensuring you receive only the finest pharmaceutical products. Our diverse inventory is designed to meet the needs of various healthcare professionals, pharmacies, and medical organizations. Whether you require medication for a common ailment or treatment for a rare condition, we have you covered. We understand the importance of affordability in healthcare. Jaiswal Pharma offers competitive prices, ensuring you get the best value for your money. For those in Kolkata seeking reliable pharmaceutical products, we are your top choice. ๐•๐ข๐ฌ๐ข๐ญ ๐จ๐ฎ๐ซ ๐œ๐จ๐ฆ๐ฉ๐š๐ง๐ฒ ๐ฐ๐ž๐›๐ฌ๐ข๐ญ๐ž ๐ญ๐จ ๐ค๐ง๐จ๐ฐ ๐ฆ๐จ๐ซ๐ž www.jaiswalpharma.comWhat is a cracked tooth?

Recent MCQs

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more MCQs

Recent flashcard sets

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more flashcards