scholarly journals Rare diagnosis of nodular lymphangitis caused by Mycobacterium marinum: MDCT imaging findings

2014 ◽  
Vol 3 (2) ◽  
pp. 204798161452317 ◽  
Author(s):  
Xavier Tomas ◽  
Margarita Pedrosa ◽  
Alex Soriano ◽  
Yuliya Zboromyrska ◽  
Griselda Tudo ◽  
...  
Keyword(s):  
Lymphatic Drainage ◽  
Skin Lesions ◽  
Mycobacterium Marinum ◽  
Rare Entity ◽  
Atypical Mycobacterium ◽  
Subcutaneous Nodules ◽  
Fish Tank ◽  
Fish Tank Granuloma ◽  
Rare Diagnosis ◽  
Mdct Imaging

Mycobacterium marinum is an atypical mycobacterium that usually causes a solitary nodule on the hand (“fish tank granuloma”) or less commonly, secondary erythematous channels and nodules spread along lymphatic drainage of the extremity, mimicking sporothricoid skin lesions of nodular lymphangitis. This report presents a case of this rare entity, a nodular lymphangitis caused by Mycobacterium marinum. Multidetector computed tomography (MDCT) imaging was very useful in determining the morphology (cellulitis with a few small subcutaneous nodules and channels) and the extension of the lesion.

Preseptal cellulitis due to Mycobacterium marinum

2006 ◽  
Vol 121 (6) ◽  
pp. 606-608 ◽  
Author(s):  
J Benton ◽  
A Karkanevatos
Keyword(s):  
Salt Water ◽  
Granulomatous Inflammation ◽  
Mycobacterium Marinum ◽  
Minor Trauma ◽  
Soft Tissue Infections ◽  
Atypical Mycobacterium ◽  
Medline Search ◽  
Preseptal Cellulitis ◽  
Fish Tank ◽  
Fish Tank Granuloma

Mycobacterium marinum is an atypical mycobacterium found in both salt and fresh water. It occasionally causes soft tissue infections after minor trauma, principally affecting the limbs.A 17-year-old male aquarium worker presented with preseptal cellulitis of his right eye, after attempting to lance a hordeolum some days previously. The condition failed to respond to antibiotics and a necrotic area developed, which subsequently required debridement. Histology of the debrided area demonstrated granulomatous inflammation which when considered with his occupation led to the diagnosis of Mycobacterium marinum – ‘fish-tank granuloma’.A Medline search did not demonstrate any previous cases of Mycobacterium marinum infection occurring peri-orbitally. The current literature regarding diagnosis and management is reviewed. Although infection with Mycobacterium marinum is rare in the general population, this case demonstrates the importance of considering the diagnosis when dealing with patients frequently exposed to fresh or salt water.

Antimicrobial Treatment of Fish Tank Granuloma

1997 ◽  
Vol 22 (1) ◽  
pp. 135-137 ◽  
Author(s):  
R. B. S. LAING ◽  
P. J. FLEGG ◽  
B. WATT ◽  
C. L. S. LEEN
Keyword(s):  
Antimicrobial Treatment ◽  
Mycobacterium Marinum ◽  
The Third ◽  
Fish Tank ◽  
Fish Tank Granuloma

Three patients with fish tank granuloma of the hand and forearm are reported. Each patient was treated with antimicrobial regimes which have rarely or never been previously used in this condition. Two patients responded well to treatment, one who received ciprofloxacin plus clarithromycin and another who was given clarithromycin plus ethambutol. The third patient received six different antimicrobial regimes before responding to a combination of rifabutin and ciprofloxacin. Our experience suggests that there now exist a number of effective alternatives to antimicrobials which have been traditionally used in the treatment of cutaneous Mycobacterium marinum infection.

scholarly journals Atypical clinical and laboratory features of fish-tank granuloma: A case report

2018 ◽  
Vol 6 ◽  
pp. 2050313X1880407 ◽  
Author(s):  
Michael Sander ◽  
Judith L Isaac-Renton ◽  
Megan A Sander
Keyword(s):  
Case Report ◽  
Susceptibility Testing ◽  
Mycobacterium Marinum ◽  
In Vitro Susceptibility ◽  
Laboratory Features ◽  
In Vitro Susceptibility Testing ◽  
Fish Tank ◽  
Fish Tank Granuloma

We report a case of cutaneous Mycobacterium marinum infection with the unusual reported features of pruritus and paresthesia. In addition, we report a lack of in-vivo response to antibiotics based on in-vitro susceptibility testing.

scholarly journals Isolamento, identificazione e sensibilità ai farmaci antimicrobici di due ceppi di Mycobacterium marinum da fish tank granuloma

2003 ◽  
Vol 18 (4) ◽  
Author(s):  
Barbara Saddi ◽  
Francesco Usai ◽  
Alessandra Burgio ◽  
Caterina Ferreli ◽  
Alessandro De Logu ◽  
...  
Keyword(s):  
Mycobacterium Marinum ◽  
Fish Tank ◽  
Fish Tank Granuloma

scholarly journals Mycobacterium marinum Strains Can Be Divided into Two Distinct Types Based on Genetic Diversity and Virulence

2004 ◽  
Vol 72 (11) ◽  
pp. 6306-6312 ◽  
Author(s):  
Astrid M. van der Sar ◽  
Abdallah M. Abdallah ◽  
Marion Sparrius ◽  
Erik Reinders ◽  
Christina M. J. E. Vandenbroucke-Grauls ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Mycobacterium Marinum ◽  
Acute Disease ◽  
Human Macrophage ◽  
Host Origin ◽  
Different Strains ◽  
Fish Tank ◽  
Fish Tank Granuloma ◽  
Mycobacterial Pathogenesis

ABSTRACT Mycobacterium marinum causes a systemic tuberculosis-like disease in a large number of poikilothermic animals and is used as a model for mycobacterial pathogenesis. In the present study, we infected zebra fish (Danio rerio) with different strains of M. marinum to determine the variation in pathogenicity. Depending on the M. marinum isolate, the fish developed an acute or chronic disease. Acute disease was characterized by uncontrolled growth of the pathogen and death of all animals within 16 days, whereas chronic disease was characterized by granuloma formation in different organs and survival of the animals for at least 4 to 8 weeks. Genetic analysis of the isolates by amplified fragment length polymorphism showed that M. marinum strains could be divided in two clusters. Cluster I contained predominantly strains isolated from humans with fish tank granuloma, whereas the majority of the cluster II strains were isolated from poikilothermic species. Acute disease progression was noted only with strains belonging to cluster I, whereas all chronic-disease-causing isolates belonged to cluster II. This difference in virulence was also observed in vitro: cluster I isolate Mma20 was able to infect and survive more efficiently in the human macrophage THP-1 and the carp leukocyte CLC cell lines than was the cluster II isolate Mma11. We conclude that strain characteristics play an important role in the pathogenicity of M. marinum. In addition, the correlation between genetic variation and host origin suggests that cluster I isolates are more pathogenic for humans.

scholarly journals Clinical, Dermatoscopical and Laboratory Essentials of Fish Tank Granuloma

2019 ◽  
Vol 11 (1) ◽  
pp. 31-35
Author(s):  
Danijela Dobrosavljević ◽  
Bojana Luković ◽  
Dimitrije Brašanac ◽  
Olivera Kosovac
Keyword(s):  
Organ Transplant ◽  
Skin Lesions ◽  
Laboratory Diagnostics ◽  
Lethal Outcome ◽  
Biopsy Material ◽  
Recent Onset ◽  
Transplant Patients ◽  
Immunosuppressed Patients ◽  
Fish Tank ◽  
Fish Tank Granuloma

Abstract In immunocompetent individuals Mycobacterium marinum (M. marinum) infection usually presents with localized skin lesions, better known as “swimming pool granuloma” or “fish tank granuloma” (FTG). When establishing the diagnosis of FTG, doctors encounter several problems in the clinical practice: granulomas are detected in less than two thirds of biopsies and acid-fast bacilli are identified only in a minority of cases. Majority of disseminated and aggressive FTG forms are unrecognized at the beginning, and occur in immunosuppressed patients, including organ transplant patients. Functional impairment or even amputation of the extremity, visceral involvement and lethal outcome have been reported. Although more than one thousand cases of FTG have been reported worldwide, dermatoscopy of FTG, as a diagnostic aid, has not been reported yet. Presenting the case of FTG of recent onset where, guided by dermatoscopy, microorganisms were isolated and identified from the biopsy material, we summarize the essentials of clinical and laboratory diagnostics of M. marinum infection.

scholarly journals Fish Tank Granuloma Caused byMycobacterium marinumin Two Aquarists: Two Case Reports

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Michal Slany ◽  
Petr Jezek ◽  
Monika Bodnarova
Keyword(s):  
Rheumatoid Arthritis ◽  
Soft Tissue ◽  
Case Reports ◽  
Mycobacterial Infection ◽  
Mycobacterium Marinum ◽  
Hygienic Behavior ◽  
Systemic Spread ◽  
Fish Tank ◽  
Fish Tank Granuloma ◽  
Systemic Infections

Mycobacterium marinum, the cause of chronic systemic infections in fish, occasionally causes granulomatous skin and soft tissue lesions in humans. Cutaneous mycobacterial infection in two patients owing to unusual circumstances is presented in this report. The first patient was infected through improper hygienic behavior, while infection in the second patient was previously misdiagnosed as rheumatoid arthritis and treated with methylprednisolone for a period of three months, which resulted in a rare systemic spread ofM. marinuminto the bones of the hand, testis, and epididymis. Simultaneously, screening for possible sources ofM. marinuminfection in patients' aquaria revealed positive fish harboring VNTR profiles identical to those obtained for clinical isolates from patients.

scholarly journals Fish Tank Granuloma Caused by Mycobacterium marinum

PLoS ONE ◽  
2012 ◽  
Vol 7 (7) ◽  
pp. e41296 ◽  
Author(s):  
Ting-Shu Wu ◽  
Cheng-Hsun Chiu ◽  
Chih-Hsun Yang ◽  
Hsieh-Shong Leu ◽  
Ching-Tai Huang ◽  
...  
Keyword(s):  
Mycobacterium Marinum ◽  
Fish Tank ◽  
Fish Tank Granuloma
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