Localized nodular skin infl ammation (small reddish
raised areas of skin) caused by a bacterium called mycobacterium marinum. Fish bowl
granuloma is typically acquired by occupational or recreational exposure to salt
or fresh water, often resulting from minor trauma during caring for aquariums. The
diagnosis is suggested by the history of exposure and confirmed by culturing tissue
specimens which yield the microscopic organism, mycobacterium marinum. The infection
can be treated with a variety of antibiotics, including doxycycline, minocycline,
clarithromycin, rifampin, and trimethoprim-sulfamethoxazole. Also called "swimming
pool granuloma."
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