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We report a case of cutaneous leishmaniasis panamensis in nonendemic Costa Rica. A 19-year-old female presented with nonhealing, unilateral eruption of erythematous papules with superficial central ulceration in a sporotrichoid pattern on right upper arm and back. Given the clinical picture and geographic locale, the patient was initially diagnosed with myiasis or human botfly infestation; however, the sporotrichoid pattern of the bites is an unlikely finding in myiasis.

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[Sporotrichoid topographic distribution and Mycobacterium marinum grown on a subdermal contraceptive implant].

Rev Med Interne

April 2011

Service de dermatologie, HIA Laveran, 13384 Marseille cedex 13, France.

We report a 37-year-old woman who presented a cutaneous papulonodular skin eruption with sporotrichoid topographic distribution. The diagnosis of Mycobacterium marinum infection was obtained with the bacteriological examination of a cutaneous biopsy and related to cleaning her aquarium at home. Mycobacteriological grown on a subdermal contraceptive implant had not been published before.

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