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