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KMID : 0882420070730001045
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Korean Journal of Medicine
2007 Volume.73 No. 0 p.1045 ~ p.1049
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A case of mycobacterium marinum hand infection with tenosynovitis
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Kim Won-Gu
Kim Beom-Jun
Lee Sang-Jin
Lee Jae-Keun
Kim Yang-Soo
Woo Jun-Hee
Choi Sang-Ho
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Abstract
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Mycobacterium marinum is a slowly growing non-tuberculous Mycobacterium that is known to cause skin infection, tenosynovitis, arthritis, and rarely disseminated infection. M. marinum infection is usually associated with exposure to contaminated water or direct injury from fish fins or bites. In general, M. marinum infections follow an indolent course limited to the upper extremities. In areas where tuberculosis is endemic, such as Korea, the diagnosis of M. marinum infection might be difficult. A general physician referred a 48-year-old man with erythematous swelling and nodules on his right hand that was present for 3 months. He had incurred a small wound while cutting fish 5 months previously. The MR imaging showed a diffuse cellulitis and tenosynovitis of the hands. An excisional biopsy showed chronic non-specific inflammation and the Ziel-Nelsen stain was negative. Cultures from the tissue specimen and synovial fluid revealed slowly growing yellowish colonies on the Lowenstein-Jensen media, which were identified as M. marinum by biochemical testing and the polymerase chain reaction with restriction fragment length polymorphism. The patient was successfully treated for 12 months with rifampicin, ethambutol and clarithromycin.(Korean J Med 73:S1045-S1049, 2007)
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KEYWORD
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Mycobacterium marinum, Hand injuries, Tenosynovitis
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