Persistent ulcers on the hand of an aquarium owner

Scand J Infect Dis. 2002;34(8):630-2. doi: 10.1080/00365540210147688.

Abstract

We present a patient with skin ulcers that did not respond to a 3-week course of treatment with amoxicillin-clavulanic acid. As the patient maintained a fish aquarium, mycobacterial infection was suspected. Indeed, reassessment of histopathology revealed acid-fast bacilli, and mycobacterial cultures at 30 degrees C grew Mycobacterium marinum. Eventually, surgical reconstruction of the tendons was needed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / administration & dosage
  • Antitubercular Agents / administration & dosage
  • Chronic Disease
  • Drug Therapy, Combination
  • Follow-Up Studies
  • Hand*
  • Humans
  • Male
  • Mycobacterium Infections, Nontuberculous / diagnosis*
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium marinum / isolation & purification*
  • Risk Assessment
  • Severity of Illness Index
  • Skin Ulcer / diagnosis*
  • Skin Ulcer / drug therapy
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Antitubercular Agents