Mycobacterium lentiflavum cutaneous pseudotumor in an immunosuppressed host

<i>Mycobacterium lentiflavum</i> infections have mostly been described as cervical lymphadenitis in children, or occasionally as pulmonary infection in immunocompromised hosts. Here, we present <i>Mycobacterium lentiflavum</i> as an isolated cutaneous pseudotumor in an immunosuppressed patient. The lesion was treated with surgical excision, which resolved without any recurrence after a year of follow up. This case shows the various presentations of this pathogen and the option of surgical excision instead of antimicrobial systemic therapy to achieve cure.