Mycobacterium haemophilum

Background

• One of the non-tuberculous mycobacteria
• Grows at 30 ºC with iron in culture
• Its environmental reservoir is water

Clinical Manifestations

• Tender erythematous skin nodules and ulcers
• Tenosynovitis
• Osteomyelitis

Management

• Treated with azithromycin and ciprofloxacin and rifampin, with or without amikacin