Document Detail

"You never asked doc., I do fish".
MedLine Citation:
PMID:  19727911     Owner:  NLM     Status:  MEDLINE    
Joint pains and swellings are routine complaints in rheumatology clinics. Infectious diseases may mimic common rheumatic conditions and thus need to be ruled out before initiating any immunosuppressive treatment. Mycobacterium marinum is an organism that can present with a typical arthritis picture. A 60-year-old gentleman with a complicated medical history presented with a right wrist swelling which was initially managed as a case of remitting seronegative arthritis. He eventually required tenolysis and the biopsy showed M. marinum. On inquiry, he was found to be an avid fisherman. This report discusses typical diagnostic pitfalls, literature review on the reported cases and treatment strategies. The most important point is to ask for occupational and hobby history in such cases.
Fawad Aslam; Bernard Ng
Publication Detail:
Type:  Journal Article     Date:  2009-09-01
Journal Detail:
Title:  Clinical rheumatology     Volume:  29     ISSN:  1434-9949     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-07-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  691-3     Citation Subset:  IM    
Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Arthritis / diagnosis*
Diagnosis, Differential
Middle Aged
Mycobacterium Infections, Atypical / diagnosis*,  drug therapy,  microbiology
Mycobacterium marinum*
Wrist Joint / microbiology
Reg. No./Substance:
0/Anti-Bacterial Agents

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