Related Experiment Videos
[Mycobacterium marinum nodular lymphangitis]
S Seiberras1, D Jarnier, S Guez
1Service de Médecine interne 3A3, CHU Tripode, place Amélie Raba-Léon, F 33076 Bordeaux.
Background:
Mycobacterium marinum has been recognized for some forty years. It generally occurs after trauma in a patient who manipulates tropical fish living in an aquarium.
Case Report:
We report the case of an exotic fish seller who developed M. marinum nodular lymphangitis after being bitten by one of the fish.
Discussion:
Nodular lesions occurring after trauma in subjects living in France who are in contact with exotic fish suggest the diagnosis of M. marinum. Nodular lymphangitis is seen in about 50% of the cases. Prolonged antibiotic therapy is required. Several antibiotics are effective including minocycline used in our case for 2 months after complete healing of the wound. Surgery is exceptionally required.