Atypical Mycobacterium granulomatous skin infections are often accured by Mycobacterium marinum, M. ulcerans, M. fortuitum, and M. avium colonies. Skin infections probably originate from an environmental source such as contacting with aquatic animals, fish farming and swimming in the pools, and inoculate into skin through skin wounds, scratches, trauma, and surgery. The lesions appear as purple...