Mycobacterium marinum infection: a case report
J. venom. anim. toxins incl. trop. dis
;
21: 7, 31/03/2015. ilus
Artigo
em Inglês
| LILACS, VETINDEX
| ID: biblio-954736
ABSTRACT
The infection by Mycobacterium marinum in humans is relatively uncommon. When it occurs, it mainly affects the skin, usually with a chronic, indolent and benign evolution. The diagnosis requires a high index of suspicion, and a significant delay may be observed between the first symptoms to the final diagnosis. This present case reports a M. marinum infection in an immunocompetent patient that had a chronic undiagnosed injury on the dominant hand for at least five years. The patient had several medical consultations, without proper suspicion, hampering adequate diagnostic investigation. Histopathology detected tuberculoid granulomas, but showed no acid-fast bacilli. The culture in appropriate medium and the polymerase chain reaction-restriction enzyme analysis (PRA)-hsp65 confirmed the diagnosis. Treatment with clarithromycin (1 g/day) for three months was effective. Although uncommon, this infection is a contact zoonosis. Therefore, it is important for clinicians to be aware of this diagnosis and properly guide preventable measures to professionals that are in risk group.(AU)
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Mycobacterium marinum
/
Relatório de Pesquisa
/
Granuloma
/
Infecções
Idioma:
Inglês
Revista:
J. venom. anim. toxins incl. trop. dis
Ano de publicação:
2015
Tipo de documento:
Artigo
Instituição/País de afiliação:
Instituto Lauro de Souza Lima/BR
/
Universidade Estadual Paulista/BR
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