Granulomas of the Skin Due to<i>Mycobacterium balnei</i>after Abrasions from a Fish Tank

Swift, Sheldon; Cohen, Harold

doi:10.1056/nejm196212132672408

Cited by 90 publications

(28 citation statements)

References 5 publications

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“…The same mycobacterium was recognized as a human pathogen in 1951 by Norden and Linell, who isolated it from skin lesions in swimmers who had bathed in a contaminated pool in Sweden [14]. then devised [15]. Since those reports, "swimming pool granuloma" has essentially disappeared because of proper chlorination of this reservoir.…”

Section: Discussionmentioning

confidence: 99%

Aquarium-borne Mycobacterium marinum skin infection. Report of 15 cases and review of the literature

Bonamonte¹,

Vito²,

Vestita³

et al. 2013

European Journal of Dermatology

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Mycobacterium marinum is a non-tuberculous photochromogenic mycobacterium, commonly responsible for fish and amphibious infections world-wide. Contagion in humans typically follows minor hand trauma from aquarium keeping and manifests as a granulomatous infection of the skin. Dissemination is rare and almost exclusive to immunosuppressed hosts. 15 cases of M. marinum fish tank related infection are hereby reported. The site of infection was the upper limbs in all cases. 3 patients presented a single papulo-verrucous lesion, while the remaining 12 showed a sporotrichoid clinical pattern. Diagnosis was reached by history and clinical examination and further supported by one or more of the following criteria: histology, culture, acid fast bacilli identification from histologic specimen and PCR. 2 to 3 months minocycline treatment showed efficacy in 13 individuals, another case was treated with rifampicin-isoniazid association, yet another showed spontaneous regression over a 3 month period.

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Section: Discussionmentioning

confidence: 99%

Aquarium-borne Mycobacterium marinum skin infection. Report of 15 cases and review of the literature

Bonamonte¹,

Vito²,

Vestita³

et al. 2013

European Journal of Dermatology

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“…Swift reported the first Mycobacterium balnei infection humans from an abrasion from a tropical fish tank. 1 Hurst et al confirmed that M. balnei and M. marinum were actually the same organism. 8 Of all the non-tuberculous mycobacterial infections, M. marinum is the most common pathogen with an overall incidence estimated at 0.04e0.27 cases per 100,000.…”

Section: Discussionmentioning

confidence: 98%

“…These infections are associated with injuries by marine animals and occur following inoculations from skin abrasions or punctures. 1 They usually cause cutaneous lesions 2 though deeper infections involving the tendon sheaths, bursae, bones and joints do occur in 29% of the reported M. marinum infections. 3 Diagnosis is often delayed because of the indolent course of the disease, its non-specific presentation and the long time needed to culture this organism.…”

Section: Introductionmentioning

confidence: 99%

Mycobacterium marinum as a cause of chronic granulomatous tenosynovitis in the hand

Pang

Lee

Puhaindran

et al. 2007

Journal of Infection

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“…Among these, the primary risk factor is exposure to aquatic environments or marine animals. Thus, M. marinum infection is also known as “fish tank granuloma” [7].…”

Section: Introductionmentioning

confidence: 99%

Fish Tank Granuloma Caused by Mycobacterium marinum

Chiu

Yang

et al. 2012

PLoS ONE

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Introduction Mycobacterium marinum causes skin and soft tissue, bone and joint, and rare disseminated infections. In this study, we aimed to investigate the relationship between treatment outcome and antimicrobial susceptibility patterns. A total of 27 patients with M. marinum infections were enrolled. Methods Data on clinical characteristics and therapeutic methods were collected and analyzed. We also determined the minimum inhibitory concentrations of 7 antibiotics against 30 isolates from these patients. Results Twenty-seven patients received antimycobacterial agents with or without surgical debridement. Eighteen patients were cured, 8 failed to respond to treatment, and one was lost to follow-up. The duration of clarithromycin (147 vs. 28; p = 0.0297), and rifampicin (201 vs. 91; p = 0.0266) treatment in the cured patients was longer than that in the others. Surgical debridement was performed in 10 out of the 18 cured patients, and in 1 of another group ( p = 0.0417). All the 30 isolates were susceptible to clarithromycin, amikacin, and linezolid; 29 (96.7%) were susceptible to ethambutol; 28 (93.3%) were susceptible to sulfamethoxazole; and 26 (86.7%) were susceptible to rifampicin. However, only 1 (3.3%) isolate was susceptible to doxycycline. Discussion Early diagnosis of the infection and appropriate antimicrobial therapy with surgical debridement are the mainstays of successful treatment. Clarithromycin and rifampin are supposed to be more effective agents.

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Granulomas of the Skin Due toMycobacterium balneiafter Abrasions from a Fish Tank

Cited by 90 publications

References 5 publications

Aquarium-borne Mycobacterium marinum skin infection. Report of 15 cases and review of the literature

Aquarium-borne Mycobacterium marinum skin infection. Report of 15 cases and review of the literature

Mycobacterium marinum as a cause of chronic granulomatous tenosynovitis in the hand

Fish Tank Granuloma Caused by Mycobacterium marinum

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