Presentation
Case presentation : A 27-year-old man was presented with a history of swelling and exudative erythematous lesions and pustules of the right forearm. He worked as a laborer at an aquarium store. [ncbi.nlm.nih.gov]
As in the present study, most patients have a sportotrichoid presentation on the upper extremity [ 15 ]. Lesions may have purulent drainage, and satellite lesions may appear and coalesce. [academic.oup.com]
Designed specifically with physicians, pharmacologists, and other members of the health care delivery team in mind, the CRC Desk Reference of Clinical Pharmacology features more than 2,000 entries appearing in three formats: Short reviews: these present [books.google.com]
The site of infection was the upper limbs in all cases. 3 patients presented a single papulo-verrucous lesion, while the remaining 12 showed a sporotrichoid clinical pattern. [moh-it.pure.elsevier.com]
Entire Body System
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Fishing
Indirect infection has also been described due to a child's bath that was used to clean out a fish tank ( 16, 17 ). The patient described in this report was occupationally exposed to fish. [ncbi.nlm.nih.gov]
Persons with open skin lesions or immunosuppression should avoid cutaneous contact with fish tanks. [academic.oup.com]
[…] that which causes “Fish TB” and fish tank granuloma. [nippyfish.net]
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Swelling
Case presentation : A 27-year-old man was presented with a history of swelling and exudative erythematous lesions and pustules of the right forearm. He worked as a laborer at an aquarium store. [ncbi.nlm.nih.gov]
Despite two courses of treatment with antimicrobial agents and nonsteroidal antiinflammatory drugs, the initial inflammation and tenderness of her thumb had gradually progressed to diffuse swelling, tenderness, and stiffness of her entire left hand, wrist [nejm.org]
Swimming Pool Granuloma due to Mycobacterium marinum may lead to the following complications: Tenosynovitis: It is an inflammation of the sheath that covers the tendons, resulting in pain and swelling in the affected areas. [dovemed.com]
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Pathologist
Procop, one of the most outstanding young clinical pathologists in medical microbiology in American medicine, shares his vision about how new technologies may be used to rapidly identify pathogenic organisms and detect resistance to treatment regimens [books.google.com]
[…] evaluation of medical history along with a thorough physical exam Skin test to rule-out tuberculous infection Tissue biopsy of the affected region: A small sample of tissue is taken and sent to the laboratory for examination under the microscope by a pathologist [dovemed.com]
Always send a thorough history with ordered differential diagnosis to the pathologist so that he or she is prompted to order appropriate stains. [consultant360.com]
KK is a pathologist, who assessed pathological findings. TK, TS, HN, ST, SO, and TB supervised study and made critical revisions for important intellectual content. All the authors approved the final version as submitted to the journal. [journals.lww.com]
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Asymptomatic
In addition, although recent studies have emphasized the influence of asymptomatic infection with environmental nontuberculous mycobacteria (NTM), such as Mycobacterium avium complex (MAC), on the tuberculin skin test [ 11 ], detailed data have not been [academic.oup.com]
Case presentation A 51 year-old male patient, who worked as administrative assistant, reported an asymptomatic lesion on the fifth right finger with five years of evolution. The lesion initially presented as small papules, followed by scaling. [scielo.br]
Skin
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Skin Lesion
Results of gram stain and routine culture from biopsy of skin lesions in both blood agar and McConckey agar were negative. [ncbi.nlm.nih.gov]
Persons with open skin lesions or immunosuppression should avoid cutaneous contact with fish tanks. [academic.oup.com]
Treatment typically is continued for one to two months after resolution of skin lesions. [aafp.org]
Surgical removal of infected lymph nodes and aggressive debridement of infected skin lesions is sometimes necessary. In severe cases, skin grafts may be necessary to repair the surgical wound. [dermnetnz.org]
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Papule
About 2 to 8 weeks after inoculation, a solitary papule forms that often progresses to a granulomatous nodule or multiple papules. [consultant360.com]
The disease begins as a violaceous papule or nodule ( 7, 18 ). It can also be presented as a psoriasiform or verrucous plaque, usually on the hands, feet, elbows or knees, at the site of trauma, about 2 to 3 weeks after inoculation ( 7, 18 ). [ncbi.nlm.nih.gov]
[…] crusted ulcers; also papulopustules, cellulitis or spreading infection resembling sporotrichosis Rarely, squamous cell carcinoma may arise in a chronic Buruli ulcer Clinical images Images hosted on other servers: Swimming pool granuloma Swollen, red papules [pathologyoutlines.com]
The main symptom is a reddish bump ( papule ) that slowly grows into a purplish and painful nodule. The elbows, fingers, and back of the hands are the most commonly affected body parts. The knees and legs are less commonly affected. [medlineplus.gov]
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Subcutaneous Nodule
Including our index case, all 6 cases presented with multiple cutaneous and subcutaneous nodules that had spread locally in the involved extremity. [onlinelibrary.wiley.com]
nodules Atypical mycobacterial infection See more images of atypical mycobacterial infections ... [dermnetnz.org]
•Nocardiosis, which is caused by a gram-positive, filamentous, acid-fast bacteria and presents as tender subcutaneous nodules and nonhealing ulcers after traumatic inoculation with contaminated soil. 4 •Leishmaniasis, which is caused by an intracellular [consultant360.com]
Lesions present as firm, painless, subcutaneous nodules that gradually enlarge and suppurate, then form ulcers and sinus tracts in overlying skin. Typical ulcers have undermined edges and a floor of granulation tissue. [patient.info]
About 4 weeks later, several subcutaneous nodules both distal and proximal to [below and above] the site of the laceration developed.” [nippyfish.net]
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Furunculosis
[…] healthy young patients Severe immunosuppression, especially AIDS, may cause disseminated skin and soft tissue lesions Often the cause of wound and surgical-site infections from contaminated water sources Causes a non-healing ulcerative skin lesion, furunculosis [dermnetnz.org]
Besides, cutaneous lesions are generally nonspecific and are often initially misdiagnosed as pyoderma, furunculosis, or even sporotrichosis [20] – [22]. [journals.plos.org]
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Skin Ulcer
Diagnostic assessment For diagnostic testing, a small sample of one of the patient’s skin ulcers was obtained and sent for histopathologic analysis; the granulomas confirmed the diagnosis of M. marinum. [medcraveonline.com]
Workup
Obtaining a complete and thorough history from the patient is important, because clues from the patient’s history prompt the workup and subsequent treatment for the rare skin disease. [aocd.org]
Treatment
Three patients had PPD and MAS reactions differing by Treatment results. Treatment regimens and outcomes are summarized in table 1. [academic.oup.com]
Procop, one of the most outstanding young clinical pathologists in medical microbiology in American medicine, shares his vision about how new technologies may be used to rapidly identify pathogenic organisms and detect resistance to treatment regimens [books.google.com]
Clinical features, treatment, and antibiotic susceptibility of causative isolates. Arch Intern Med. 2002; 162 :1746–52. [ PubMed ] [ Google Scholar ] 5. Huminer D, Pitlik SD, Block C, Kaufman L, Amit S, Rosenfield JB. [ncbi.nlm.nih.gov]
Treatment typically is continued for one to two months after resolution of skin lesions. [aafp.org]
Prognosis
Outlook (Prognosis) Swimming pool granulomas can usually be cured with antibiotics. But, you may have scarring. Possible Complications Tendon, joint, or bone infections sometimes occur. [ufhealth.org]
A diagnostic distinction between M marinum infection and ENKL is clinically important, as misdirected treatment will lead to poor prognosis. [journals.lww.com]
Etiology
Foundation, Cà Granda Ospedale Maggiore Policlinico, Milan, Italy Abstract: Mycobacterium marinum is the etiologic agent of fish tank granuloma. The clinical course is usually benign: spontaneous healing is possible within weeks or months. [dovepress.com]
Background Mycobacterium marinum, a ubiquitous pathogen of fish and amphibia, is a near relative of Mycobacterium tuberculosis, the etiologic agent of tuberculosis in humans. [bacmap.wishartlab.com]
Overview Mycobacterium marinum, a ubiquitous pathogen of fish and amphibia, is a near relative of Mycobacterium tuberculosis, the etiologic agent of tuberculosis in humans. [uniprot.org]
(Etiology) Swimming Pool Granuloma is an uncommon bacterial infection affecting the skin, caused by Mycobacterium marinum This opportunistic pathogen infects the body through (open) skin cut wounds resulting in the condition. [dovemed.com]
Epidemiology
Definition / general Skin disorders (ulcerations, abscesses, rheumatoid-like nodules, histiocytic reactions, panniculitis), most commonly due to M. kansasii, M. marinum, M. ulcerans Epidemiology Nontuberculous mycobacteria are nonpathogenetic; they inhabit [pathologyoutlines.com]
The chapter describes epidemiology and prevention of M. marinum. Citation: Cambau E, Aubry A. 2011. Mycobacterium marinum, p 586-600. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Sixth Edition. [asmscience.org]
In this case report, we will discuss the patient’s history and clinical assessment, the timeline, the clinical course and interventions, and the epidemiology of the Mycobacterium marinum ( M. marinum ). [medcraveonline.com]
The epidemiology of disseminated nontuberculous mycobacterial infection in the acquired immunodeficiency syndrome (AIDS). Am Rev Respir Dis 1989;139:4-7. Tchornobay AM, Claudy AL, Perrot JL, Levigne V, Denis M. [adc.mef.hr]
Pathophysiology
Back to Journals » Infection and Drug Resistance » Volume 11 Stefano Veraldi, Paolo Pontini, Gianluca Nazzaro Department of Pathophysiology and Transplantation, Università degli Studi di Milano, I.R.C.C.S. [dovepress.com]
FEMS microbiology letters. 2003 Aug 29; [PubMed PMID: 12951238] [6] Hashish E,Merwad A,Elgaml S,Amer A,Kamal H,Elsadek A,Marei A,Sitohy M, Mycobacterium marinum infection in fish and man: epidemiology, pathophysiology and management; a review. [statpearls.com]
Pathophysiology M marinum is a slow-growing species that resides in both freshwater and saltwater environments, with optimal growth at 30-32 C. [emedicine.medscape.com]
Author affiliations Department of Pathophysiology and Transplantation, University of Milan, IRCCS Foundation Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy Dermatology 2014;229:83-87 Abstract Get article FullText PDF Login / Register To view the [karger.com]
Prevention
Adequate chlorination has drastically reduced the number of cases acquired from swimming pools, and recent reports emphasize acquisition from fish tanks but do not offer recommendations for prevention [ 3, 5–10 ]. [academic.oup.com]
Centers for Disease Control and Prevention (July 1, 2010 Reviewed). Diagnosis of Tuberculous Disease. Available online at through . Accessed January 2011. Centers for Disease Control and Prevention. [labtestsonline.it]
Seite 290 - Antibiotic prophylaxis for the prevention of bacterial infections in cirrhotic patients with gastrointestinal bleeding: A meta-analysis. Hepatology 1999; 29: 1655-61 6. [books.google.de]
An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial disease. Am J Respir Crit Care Med 2007;175:367-416. Stamm LM, Brown EJ. [adc.mef.hr]
Instead, preventive strategies are recommended especially for those patients. Distal aspects of the upper limbs, such as the finger/hand, are the most common sites of infection in relation to fish/water animal exposure. [asmscience.org]