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Updated: Jun 20, 2026

Necropsy-based Wild Fish Health Assessment
07:57

Necropsy-based Wild Fish Health Assessment

Published on: September 11, 2018

"You never asked doc., I do fish".

Fawad Aslam1, Bernard Ng

  • 1Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.

Clinical Rheumatology
|September 4, 2009
PubMed
Summary
This summary is machine-generated.

Mycobacterium marinum infections can mimic rheumatic diseases, causing joint pain and swelling. A fisherman

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Microbiology

Background:

  • Joint pains and swellings are common in rheumatology, often mimicking infectious causes.
  • Prompt identification of infections is crucial to avoid unnecessary immunosuppressive therapy.
  • Mycobacterium marinum presents with arthritis-like symptoms, posing diagnostic challenges.

Purpose of the Study:

  • To highlight diagnostic pitfalls in cases of Mycobacterium marinum presenting as arthritis.
  • To review literature on M. marinum infections mimicking rheumatic conditions.
  • To emphasize the importance of occupational and hobby history in diagnosis.

Main Methods:

  • Case presentation of a 60-year-old gentleman with wrist swelling initially diagnosed as seronegative arthritis.
  • Histopathological examination of biopsy revealing M. marinum.
  • Detailed patient history including occupational and hobby exposures.

Main Results:

  • The patient's wrist swelling was eventually diagnosed as Mycobacterium marinum infection after initial misdiagnosis.
  • The patient's history of avid fishing was a key factor in identifying the source of infection.
  • Diagnostic delays occurred due to the atypical presentation mimicking common rheumatic conditions.

Conclusions:

  • Occupational and hobby history are critical for diagnosing Mycobacterium marinum arthritis.
  • Early consideration of infectious etiologies like M. marinum is essential in rheumatology.
  • Prompt diagnosis and appropriate treatment can prevent complications and unnecessary immunosuppression.