IN 1978, Sompolinsky and his colleagues reported the isolation of a previously unrecognised atypical mycobacterium from a granulomatous skin lesion of an immunosuppressed patient. These workers found that haemin was a required factor for growth of this organism in vitro and therefore proposed that the organism be named Mycobacterium haemophilum. In common with the two other atypical mycobacteria that are capable of causing skin lesions, M . ulcerans and M . marinum, this organism has an optimum growth temperature lower than that of M . tuberculosis and in fact grows poorly, if at all, at 35°C.Before the recognition of M . haemophilum, five cases of skin infection apparently caused by a mycobacterium were observed in immunosuppressed patients in one Sydney hospital (Mezo et al., 1979). The organism failed to grow on Lowenstein-Jensen or other media commonly used for the isolation of mycobacteria. However, from three of the five patients a mycobacterium was isolated on Lowenstein-Jensen medium supplemented with ferric ammonium citrate. A similar organism was isolated from the skin of an immunosuppressed patient in another Sydney hospital (Walder et al., 1976). Dawson and Jennis (1 980) consider that all four isolates are identical with M . haemophilum. This paper describes the pathogenic effects of M . haemophilum in prednisolone-treated mice infected experimentally and compares the main features of the naturally occurring disease in man with the artificial disease produced in mice.
MATERIALS AND METHODS
Culture mediaLowenstein-Jensen (LJ) medium was prepared by the method of Holm and Lester (1942); ferric ammonium citrate was added to give a final concentration of 2% (w/v) to produce ferric ammonium citrate Lowenstein-Jensen medium (FAC-LJ). At the time of this study it was not known that haemin is a growth requirement of M . haemophilum.Nutrient blood agar for the detection and isolation of Corynebacterium murium and other rapidly growing pathogenic bacteria was prepared with Tryptone Soya Agar (Oxoid) containing horse blood 8% (v/v).Hoyle's tellurite agar (Cruickshank, 1965) was used for the isolation of C. murium.
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