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Mycobacterium marinum infection.

Christopher T Cassetty1, Miguel Sanchez

  • 1Ronald O. Perelman Department of Dermatology, New York University, USA.

Dermatology Online Journal
|March 8, 2005
PubMed
Summary

A man developed hand nodules after Mycobacterium marinum infection treatment. This case highlights potential lingering infections from aquarium fish, even after antibiotic therapy.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Aquatic Medicine

Background:

  • Mycobacterium marinum infections, often acquired from aquatic environments, can cause skin lesions.
  • Treatment of M. marinum typically involves a combination of antibiotics, such as rifampin and clarithromycin.
  • Recurrence or persistent symptoms can occur despite appropriate antimicrobial therapy.

Observation:

  • A 49-year-old male patient presented with new nodules on his right hand.
  • The patient had a recent history of Mycobacterium marinum infection.
  • The infection was recently treated with rifampin and clarithromycin.
  • The patient owns an aquarium containing Betta fish.

Findings:

  • The development of nodules suggests a potential relapse or persistent Mycobacterium marinum infection.
  • The patient's exposure to Betta fish in an aquarium is a likely source of M. marinum.
  • Antibiotic treatment may not always fully eradicate the infection, necessitating further evaluation.

Implications:

  • This case underscores the importance of considering M. marinum in patients with hand lesions and aquatic exposure, even after initial treatment.
  • Aquarium owners should be educated about the risks of M. marinum infections and preventive measures.
  • Further investigation may be needed to determine the optimal duration and regimen for M. marinum treatment to prevent recurrence.

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