ECTHYMA GANGRENOSUM-LIKE LESIONS ASSOCIATED WITH DISSEMINATED NONTUBERCULOUS MYCOBACTERIAL INFECTION IN AN HIV-INFECTED PATIENT

Ecthyma gangrenosum typically occurs in patients who are immuno- compromised. It is most often associated with a Pseudomonas aeruginosa bactere- mia but other pathogens can be found. We report an HIV-infected patient with disseminated nontuberculous mycobacterial infection who presented with fever, mucous bloody diarrhea and cutaneous lesions on both legs. The cutaneous le- sions had ecthyma gangrenosum feature and the histopathology was compatible with erythema induratum. Hemoculture was positive for nonchromogen slowly growing mycobacteria.