Volume 9, Number 11—November 2003
Letter
Invasive Mycobacterium marinum Infections
Table
Summary of Invasive Mycobacterium marinum infection cases published since 1966
Ref. | Age | Sex | Symptoms | Source | Immune impairment | Dx delay (mo) | Medications | Surgery ? | Treatment duration (mo) |
---|---|---|---|---|---|---|---|---|---|
(2) | 32 | M | Disseminated cutaneous, larynx | Minor trauma | Systemic steroids | 240 | I, S | Yes | >36 |
(3) | 37 | M | R middle finger osteomyelitis | Fishing injury | Local steroid injection | 3 | Erythromycin, S | Yes | 5 |
(3) | 30 | M | R long finger osteomyelitis | Minor trauma | None | 12 | Declined | No | -- |
(3) | 56 | M | R ring finger tenosynovitis | Minor trauma, fishing and cleaning boats | Local steroid injection | 1.2 | E | Yes | 9 |
(3) | 52 | M | L index finger osteomyelitis and synovitis | None | Local steroid injection | 7 | Cycloserine, ethionamide, R | Yes | ? |
(3) | 60 | M | R ring finger synovitis and osteomyelitis | Shrimp cleaning injury | None | 7 | E, R | Yes | 6 |
(3) | 55 | M | L long finger synovitis and skin ulcer | Shrimp cleaning injury | None | 23 | E | Yes | 6 |
(4) | 30 | M | Disseminated skin nodules, lymphangitis | Aquarium cleaning | Systemic steroids and azathioprine for renal transplant | 2 | E, R, T | No | ? |
(5) | 1.3 | F | Disseminated cutaneous nodules | Aquarium exposure | None | 2 | E, I, R | No | 8 |
(6) | 26 | M | R hand tenosynovitis | Fisherman | Local steroid injection | 8 | E, P, R, tetracycline | Yes | ? |
(6) | 45 | M | R index tenosynovitis | Saltwater fishing | Local steroid injection | 1 | E, R, tetracycline | Yes | ? |
(6) | 22 | M | R hand tenosynovitis | Fisherman | None | 2 | I, R, S | Yes | ? |
(6) | 56 | F | L hand tenosynovitis | Fishing injury | Local steroid injections | 5 | I, R, S | Yes | ? |
(6) | 53 | M | R hand and forearm synovitis, bursitis | Fisherman | Local steroid injections | 78 | E, I, R, S | Yes | ? |
(7) | 47 | F | R hand tenosynovitis and osteomyelitis | None | None | 1 | E, I, R | Yes | ? |
(8) | 32 | M | L hand tenosynovitis | None | Local steroid injection | 1 | E, R, sulfamethoxazole | Yes | 24 |
(8) | 42 | M | L hand tenosynovitis | Shrimp fishing | None | 3 | E, I, R | Yes | 24 |
(8) | 52 | F | R hand tenosynovitis | Shrimp spine injury | None | 1 | D, E, R | No | 24 |
(8) | 31 | F | L index finger tenosynovitis | Crab bite | Local steroid injection | 6 | D, E, R | Yes | 24 |
(9) | 56 | M | L index finger osteomyelitis and wrist synovitis | Fisherman | Local steroid injections | 12 | E, M, R | Yes | 9 |
(10) | 5 | M | Polyarthritis, disseminated skin lesions, hepatic function abnormalities | None | Abnormalities in monocyte function | 48 | A, clofazamine, E, R, T | No | 9 |
(11) | 35 | F | L hand and wrist septic arthritis, cutaenous lesions on arm | Puffer fish sting | Systemic steroids for SLE flares | 18 | M | No | >12 |
(12) | 62 | F | L middle finger osteomyelitis with skin nodules | Injury while gardening, owned tropical fish aquarium | None | 8 | E, R | Yes | 4 |
(13) | 33 | M | R hand nodules, LAD, pneumonia, bacteremia | Fish tank | AIDS (CD4<5) | 0.5 | C, clofazimine, ethionamide | Yes | 3 until death |
(14) | 56 | M | L ring finger septic arthritis, osteomyelitis | Minor trauma, fish tank | Local steroid injection | 2 | C, E, R | No | 12 |
(15) | 0.25 | M | Diffuse pustules, osteomyelitis, bacteremia | Bathed in bathtub in which fishtank washed | SCID | ? | I, R, T | No | 6 until death |
(16) | 71 | M | R 2nd MCP synovitis, septic arthritis, osteomyelitis | Swimming and fishing injury | Local steroid injection | 9 | C, E, I, R | Yes | 12 |
(17) | 48 | F | L hand osteomyelitis, R forearm cutaneous lesions, R ankle septic arthritis and osteomyelitis | Fish tank cleaning | Cyclosphosphamide and systemic steroids for polymyositis | 10 | D, I pyrazinamide, R | Yes | 5 |
(18) | 52 | F | R hand tenosynovitis and osteomyelitis | Fish dealer, puncture injury | Systemic steroids and local herbal injections | 2 | Clarithromycin, D, E, I, R | Yes | 18 |
(19) | 41 | F | R index flexor sheath tenosynovitis | Fishmonger | Local steroid injection | 3 | M | Yes | 1.5 |
(20) | 53 | M | R middle finger tenosynovitis, septic arthritis, wrist osteomyelitis, discharging sinuses | Nonpenetrating trauma, home aquarium | Local steroid injections, systemic methotrexate | 24 | C, E, R, S | No | 13 |
(21) | 81 | M | L forearm plaque, L index finger ulcer, R forearm cellulitis, bone marro cx + pancytopenia | Aquarium exposure | Systemic steroids and azathioprine for myasthenia gravis | 5 | C, D | No | <1 before death |
(22) | 22 | M | R wrist tenosynovitis, nodular skin lesions | “Fish-related hobby”, aquarium | Systemic steroids for Still’s disease | 0.25 | C, clarithromycin, E, R | Yes | 4 |
(23) | 70 | M | R hand and wrist tenosynovitis, subcutaneous nodules, L knee septic arthritis | Fish fin wound | Systemic steroids | 12 | A, E, M, R | Yes | 12 |
(24) | 60 | F | Disseminated ulcerating abscesses | Tropical aquarium | Systemic steroids and chemotherapy for non-Hodgkin lymphoma | 8 | clarithromycin, clotrimazole, E, immunoglobulins, levofloxacin, R, S, | No | ? |
aDx, diagnosis; l, left; R, right; MCP,metacarpophalangeal; A, amikacin; C, ciprofloxacin; D, doxycycline; E, ethambutol; I, isoniazid; M, minocycline; P, pyrazinamide; R, rifampin; S, streptomycin; T, trimethoprim/sulfamethoxazole
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