Document Detail


Aquarium-borne Mycobacterium marinum skin infection. Report of a case and review of the literature.
MedLine Citation:
PMID:  3487289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 33-year-old fish fancier developed a protracted skin infection that ultimately was found to be caused by Mycobacterium marinum. The organism was isolated from the lesion as well as from infected fish taken from his home aquarium. The lesion resolved after a six-week course of oral sulfamethoxazole and trimethoprim. Forty-four additional cases of culture-proved M marinum skin infections acquired from aquariums and reported in the English-language literature are reviewed. Almost universally, the lesions remained circumscribed and were either single nodular (14 patients) or multiple sporotrichoid (31 patients). Diagnosis was supported by acid-fast smears (15 patients) and isolation of the organism from skin lesions (43 patients) or from fish (two cases). In vitro studies, as well as clinical outcomes, suggest sulfamethoxazole-trimethoprim or ethambutol hydrochloride plus rifampin to be the drugs of choice.
Authors:
D Huminer; S D Pitlik; C Block; L Kaufman; S Amit; J B Rosenfeld
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of dermatology     Volume:  122     ISSN:  0003-987X     ISO Abbreviation:  Arch Dermatol     Publication Date:  1986 Jun 
Date Detail:
Created Date:  1986-07-03     Completed Date:  1986-07-03     Revised Date:  2008-03-17    
Medline Journal Info:
Nlm Unique ID:  0372433     Medline TA:  Arch Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  698-703     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Anti-Bacterial Agents / therapeutic use
Drug Combinations / therapeutic use
Fish Diseases / transmission*
Fishes
Hand Dermatoses / drug therapy,  transmission*
Hobbies*
Humans
Male
Mycobacteria, Atypical / isolation & purification
Mycobacterium Infections / transmission*
Mycobacterium Infections, Atypical / drug therapy,  transmission*
Skin Diseases, Infectious / drug therapy,  transmission*
Sulfamethoxazole / therapeutic use
Trimethoprim / therapeutic use
Trimethoprim-Sulfamethoxazole Combination
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Drug Combinations; 723-46-6/Sulfamethoxazole; 738-70-5/Trimethoprim; 8064-90-2/Trimethoprim-Sulfamethoxazole Combination

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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