Mycobacterium marinum: Difference between revisions
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#*Monotherapy with doxycycline, clarithromycin, bactrim, or minocycline<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref> | #*Monotherapy with doxycycline, clarithromycin, bactrim, or minocycline<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref> | ||
#*Secondary to drug high levels of drug resistance, may require dual drug therapy | #*Secondary to drug high levels of drug resistance, may require dual drug therapy | ||
# Warm compresses | # Warm compresses (bacterium is heat-sensitive) | ||
==Disposition== | ==Disposition== | ||
Revision as of 08:51, 12 January 2016
Background
- Bacteria that causes "fish tank Granuloma"
- Can infect both immunocompetent and immunocompromised hosts
Risk Factors
- Aquarium workers and enthusiasts
- Swimming
- Handling of contaminated water
Clinical Features
Fish tank granuloma. [1]
- Solitary to multiple superficial red nodules or plaques in exposed areas
- Lesions on the hands and fingers if works with aquariums, or the knees and elbows in swimmers
Differential Diagnosis
Diagnosis
Diagnosis is clinical aided by histopathology. Lesions are red nodules/plaques. May progress to abscess or deep-space infections. May also disseminate (rare).
Management
- Long-term antibiotic therapy
- Warm compresses (bacterium is heat-sensitive)
Disposition
See Also
External Links
References
- ↑ Ryan, J and Bryant G. "Fish tank granuloma - a frequently misdiagnosed infection of the upper limb." J Accid Emerg Med. 1997 Nov; 14(6): 398–400.
- ↑ Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613
- ↑ Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007
- Ryan, J and Bryant G. "Fish tank granuloma - a frequently misdiagnosed infection of the upper limb." J Accid Emerg Med. 1997 Nov; 14(6): 398–400.