Swimming pool granuloma is caused by
**Core Concept**
Swimming pool granuloma is a skin infection caused by a bacterium that thrives in aquatic environments. The condition is characterized by the formation of granulomas, which are a type of inflammatory tissue response to a foreign substance or pathogen.
**Why the Correct Answer is Right**
The correct answer is Mycobacterium marinum, a type of nontuberculous mycobacterium that is commonly found in water environments. M. marinum enters the body through cuts or abrasions in the skin, typically after exposure to infected water, such as a swimming pool. The bacteria cause a localized infection, leading to the formation of granulomas and skin lesions. The pathogenesis involves the ingestion of the bacteria by macrophages, which then attempt to phagocytose the organism, but ultimately fail, leading to the formation of granulomas.
**Why Each Wrong Option is Incorrect**
**Option A:** Not relevant to the condition described.
**Option B:** This option is incorrect because Pseudomonas aeruginosa is a bacterium that can cause skin infections, but it is not associated with swimming pool granulomas.
**Option C:** This option is incorrect because Staphylococcus aureus is a common cause of skin infections, but it is not the causative agent of swimming pool granulomas.
**Clinical Pearl / High-Yield Fact**
Mycobacterium marinum infections can also be acquired through contact with infected fish or other aquatic animals, highlighting the importance of proper hand hygiene and wound care when handling animals or engaging in aquatic activities.
**Correct Answer:** C.