Mycobacterium marinum infection of the hand involving deep structures

Mycobacterium marinum: MR imaging and clinical course of a rare soft tissue infection

“…The infectious diseases literature states that the most frequently involved joints are the wrist and metacarpophalangeal and proximal interphalangeal joints, and that the disease is mostly painless and of a chronic nature [2,15], making the clinical diagnosis often difficult. Typically soft tissue may be affected without or before skin ulceration has occurred and can be associated with increased fluid collections as was seen in our case with a 2 cm abscess [17]. Atypical mycobacterial infections may be slow-growing and may create chronic ulcerations that can mimic chronic skin ulceration of malignant etiology such as that of a lymphoma or sarcoma [12].…”

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

“…The average TAM was only 93.8 . We feel that early mobilization can contribute to improved functional outcomes although Chow et al 12 had advised immobilization of the hand for 7e 10 days until the wound is more stable, followed by vigorous hand therapy.…”

“…It has been found that hydrocorticosteroid injections could lead to worsening of symptoms. 12 Lastly, this is a fastidious organism that requires a specialized medium and it takes 6 weeks for the mycobacteria to be cultured in the laboratory. The typical intra-operative findings included exuberant synovial granulating tissue and attenuation of the pulleys.…”

Mycobacterium Marinum Infections of the Hand: a Report of Three Cases

“…The condition has acquired the more popular name of fish tank granuloma or swimming pool granuloma, although the latter is rare since most swimming pool water is chlorinated, which prohibits development of mycobacterial growth. Most literature concerns case reports and small series (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(20)(21)(22). Some larger series are available (3,4,7,11,14).…”