Pangen Cui, Varalakshmi Vissa, Wei Li, Xiaodong Zhang, Lin Lin, Hongsheng Wang
, Xiaolin Liu, Qinxue Wu, and Wenkai Zong
Figure. . Cutaneous Mycobacterium shigaense infection in a 56-year-old immunocompetent woman, China. A) Plaques, scars with scabbing, nodules, and concave scars on the face and neck and papules and scarring on the submaxilla. B) Histopathologic results, showing hyperplastic epidermis and infiltration with lymphocytes, neutrophilic leukocytes, multinuclear giant cells, and epithelioid cells in the dermis. C) Samples streaked on Löwenstein–Jensen medium at 32°C formed smooth, yolk yellow creamy colonies. D) Ziehl–Neelsen staining of bacilli from the colonies that tested positive. E) Visible improvement of lesions after 4 months of treatment.