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

Smet, Lina De

doi:10.1080/00015458.2008.11680340

Cited by 6 publications

(2 citation statements)

References 16 publications

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“…Antibiotic treatment with clarithromycin was continued for 6 months with a good result. 12 Lovric et al 4 reported a 50-year-old female renal transplant patient immunosuppressed with tacrolimus, prednisolone, and mycophenolat mofetil. The patient first experienced papules on her fingertips and then developed ulcerated nodules of the forearm in a sporotrichoid pattern.…”

Section: Overview Mycobacterium Marinummentioning

confidence: 99%

Mycobacterial infections of the hand and wrist

Meals

Hattwick

2011

Current Orthopaedic Practice

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We sought to synthesize important information from recent literature on mycobacterial infections of the hand and wrist. A PubMed search for recent literature (published between 2008 and the present) concerning mycobacterial infections of the hand and wrist was done.The recent literature on mycobacterial infections of the hand and wrist consists entirely of case series and case reports. Although there is some agreement among authors, no consensus exists regarding optimal diagnosis or treatment of these infections.Mycobacterial infections of the hand and wrist are rare, and diagnosis is typically delayed as more common processes are assumed. Certain types of vocational exposure and immunocompromise may be risk factors. Mycobacterial infection may present in a similar fashion to that of more typical organisms and may produce otherwise aseptic pathology including tenosynovitis, trigger-finger, and carpal tunnel syndrome. Treatment with long pharmaceutical courses is common. Surgery is reserved for refractory cases.

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Section: Overview Mycobacterium Marinummentioning

confidence: 99%

Mycobacterial infections of the hand and wrist

Meals

Hattwick

2011

Current Orthopaedic Practice

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“…14 Other key factors to look for are a medical history of or undiagnosed diabetes, 15 rheumatoid arthritis, intravenous drug use, or exposure to a tropical fish aquarium, which are associated with a high incidence of mixed Gram negative organisms, pure Gram negative organisms, mixed aerobic and anaerobic pathogens, and Mycobacterium marinum, respectively. 16 4 How would you manage this patient?…”

Section: Long Answermentioning

confidence: 99%

A painful swollen finger

Al-Hadithy

Panagiotidou

Hamilton

2012

BMJ

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Kutane Infektionen durch Mycobacterium marinum

Nenoff¹,

Klapper²,

Mayser

et al. 2011

Hautarzt

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Mycobacterium marinum belongs to the non-tuberculous or "atypical" mycobacteria. The reservoirs for these ubiquitous and slowly growing bacteria are both fresh water and salt water. In particular, aquaria should be considered as important source of hobby-related infections especially of fingers, hands and forearms. Affected are both immunosuppressed patients and persons with an intact immune system. Distinctive are erythematous plaques and nodules with tendency for hyperkeratosis, crusting, and superficial ulcerations, sometimes as sporotrichoid lymphocutaneous infection. The histology shows non-caseation granulomas containing epithelioid cells and Langhans giant cells. Using the Ziehl Neelsen staining, typical acid-fast rods are not always detectable. The molecular biological detection of mycobacterial DNA using polymerase chain reaction represents the standard method of diagnosis. Cryotherapy is frequently used as first treatment. For the often long-term tuberculostatic therapy, rifampicin, ethambutol, and clarithromycin are the most used agents.

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

Cited by 6 publications

References 16 publications

Mycobacterial infections of the hand and wrist

Mycobacterial infections of the hand and wrist

A painful swollen finger

Kutane Infektionen durch Mycobacterium marinum

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