Artigo
Mycobacterium marinum infection: a case report
Registro en:
Journal Of Venomous Animals And Toxins Including Tropical Diseases, v. 21, 5 p., 2015.
1678-9199
10.1186/s40409-015-0008-9
WOS:000351827200002
WOS000351827200002.pdf
Autor
Sette, Christiane Salgado
Wachholz, Patrick Alexander [UNESP]
Masuda, Paula Yoshiko
Fortes da Costa Figueira, Renata Borges
Oliveira Mattar, Fernanda Rodrigues de
Ura, Deise Godoy
Resumen
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. Inst Lauro Souza Lima, BR-17034971 Bauru, SP, Brazil Univ Estadual Paulista, UNESP, Botucatu Med Sch, Dept Publ Hlth, BR-18618970 Botucatu, SP, Brazil Univ Estadual Paulista, UNESP, Botucatu Med Sch, Dept Publ Hlth, BR-18618970 Botucatu, SP, Brazil