Mycobacterium marinum infection: a case report
AbstractThe infection by Mycobacterium marinum in humans is relatively uncommon. When it occurs, it mainly affects the skin, usually with a chronic, indolent and benign evolution. The diagnosis requires a high index of suspicion, and a significant delay may be observed between the first symptoms to...
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Format: | Article |
Language: | English |
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SciELO
2015-05-01
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Series: | Journal of Venomous Animals and Toxins including Tropical Diseases |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992015000100412&lng=en&tlng=en |
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author | Christiane Salgado Sette Patrick Alexander Wachholz Paula Yoshiko Masuda Renata Borges Fortes da Costa Figueira Fernanda Rodrigues de Oliveira Mattar Deise Godoy Ura |
author_facet | Christiane Salgado Sette Patrick Alexander Wachholz Paula Yoshiko Masuda Renata Borges Fortes da Costa Figueira Fernanda Rodrigues de Oliveira Mattar Deise Godoy Ura |
author_sort | Christiane Salgado Sette |
collection | DOAJ |
description | AbstractThe infection by Mycobacterium marinum in humans is relatively uncommon. When it occurs, it mainly affects the skin, usually with a chronic, indolent and benign evolution. The diagnosis requires a high index of suspicion, and a significant delay may be observed between the first symptoms to the final diagnosis. This present case reports a M. marinum infection in an immunocompetent patient that had a chronic undiagnosed injury on the dominant hand for at least five years. The patient had several medical consultations, without proper suspicion, hampering adequate diagnostic investigation. Histopathology detected tuberculoid granulomas, but showed no acid-fast bacilli. The culture in appropriate medium and the polymerase chain reaction-restriction enzyme analysis (PRA)-hsp65 confirmed the diagnosis. Treatment with clarithromycin (1 g/day) for three months was effective. Although uncommon, this infection is a contact zoonosis. Therefore, it is important for clinicians to be aware of this diagnosis and properly guide preventable measures to professionals that are in risk group. |
first_indexed | 2024-12-11T14:55:48Z |
format | Article |
id | doaj.art-6401b6f31bc54c419dd3828ff17d133d |
institution | Directory Open Access Journal |
issn | 1678-9199 |
language | English |
last_indexed | 2024-12-11T14:55:48Z |
publishDate | 2015-05-01 |
publisher | SciELO |
record_format | Article |
series | Journal of Venomous Animals and Toxins including Tropical Diseases |
spelling | doaj.art-6401b6f31bc54c419dd3828ff17d133d2022-12-22T01:01:20ZengSciELOJournal of Venomous Animals and Toxins including Tropical Diseases1678-91992015-05-0121010.1186/s40409-015-0008-9S1678-91992015000100412Mycobacterium marinum infection: a case reportChristiane Salgado SettePatrick Alexander WachholzPaula Yoshiko MasudaRenata Borges Fortes da Costa FigueiraFernanda Rodrigues de Oliveira MattarDeise Godoy UraAbstractThe infection by Mycobacterium marinum in humans is relatively uncommon. When it occurs, it mainly affects the skin, usually with a chronic, indolent and benign evolution. The diagnosis requires a high index of suspicion, and a significant delay may be observed between the first symptoms to the final diagnosis. This present case reports a M. marinum infection in an immunocompetent patient that had a chronic undiagnosed injury on the dominant hand for at least five years. The patient had several medical consultations, without proper suspicion, hampering adequate diagnostic investigation. Histopathology detected tuberculoid granulomas, but showed no acid-fast bacilli. The culture in appropriate medium and the polymerase chain reaction-restriction enzyme analysis (PRA)-hsp65 confirmed the diagnosis. Treatment with clarithromycin (1 g/day) for three months was effective. Although uncommon, this infection is a contact zoonosis. Therefore, it is important for clinicians to be aware of this diagnosis and properly guide preventable measures to professionals that are in risk group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992015000100412&lng=en&tlng=enMycobacterium infectionsMycobacterium marinumCase reportGranuloma |
spellingShingle | Christiane Salgado Sette Patrick Alexander Wachholz Paula Yoshiko Masuda Renata Borges Fortes da Costa Figueira Fernanda Rodrigues de Oliveira Mattar Deise Godoy Ura Mycobacterium marinum infection: a case report Journal of Venomous Animals and Toxins including Tropical Diseases Mycobacterium infections Mycobacterium marinum Case report Granuloma |
title | Mycobacterium marinum infection: a case report |
title_full | Mycobacterium marinum infection: a case report |
title_fullStr | Mycobacterium marinum infection: a case report |
title_full_unstemmed | Mycobacterium marinum infection: a case report |
title_short | Mycobacterium marinum infection: a case report |
title_sort | mycobacterium marinum infection a case report |
topic | Mycobacterium infections Mycobacterium marinum Case report Granuloma |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992015000100412&lng=en&tlng=en |
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