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Deep infection with Mycobacterium marinum : successful treatment of a frequently misdiagnosed disease.
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 Aug 28; Vol. 12 (8). Date of Electronic Publication: 2019 Aug 28. - Publication Year :
- 2019
-
Abstract
- We report a rare yet typical presentation of a severe infection with Mycobacterium marinum that affected the deep structure of the hand and wrist of a 43-old fish breeder. A combination therapy of surgical debridement and antibiotic treatment with clarithromycin and ethambutol for 6 months led to a total resolution of the symptoms. Intensive rehabilitation completely restored the function of the hand.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adult
Anti-Bacterial Agents administration & dosage
Anti-Bacterial Agents therapeutic use
Clarithromycin administration & dosage
Clarithromycin therapeutic use
Combined Modality Therapy methods
Debridement methods
Diagnostic Errors
Ethambutol administration & dosage
Ethambutol therapeutic use
Female
Hand diagnostic imaging
Hand Injuries complications
Humans
Magnetic Resonance Imaging methods
Mycobacterium Infections, Nontuberculous microbiology
Mycobacterium Infections, Nontuberculous therapy
Tenosynovitis diagnostic imaging
Tenosynovitis pathology
Treatment Outcome
Wrist diagnostic imaging
Hand pathology
Hand Injuries microbiology
Mycobacterium Infections, Nontuberculous diagnosis
Mycobacterium marinum isolation & purification
Wrist pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 31466974
- Full Text :
- https://doi.org/10.1136/bcr-2019-229663