[Apropos of the 2nd case of cutaneous granuloma caused by Mycobacterium marinum in Uruguay].

A new, second uruguayan case of cutaneous granuloma by Mycobacterium marinum is presented. The patient a 31 years old white man from Montevideo city had two granulomatous and ulcerated lesions on the right knee, secondary to wounds suffered with mussels' shells 5 years before while cleaning his boat in saline waters close to our Rio de la Plata river. Diagnosis was made by finding the typical acid fast organisms in the lesions, the isolation of the agent in cultures and through experimental inoculation of laboratory animals. Metastatic nodular lesions were observed in hamsters (Mesocricetus auratus) after intratesticular inoculation. A clear improvement was obtained by local heat confirming previous observations.