Images in Clinical Medicine
Fish-Tank Granuloma
N Engl J Med 1997; 336:1065April 10, 1997
- Article
Figure 1 A 22-year-old man lacerated the back of his left index finger while cleaning his fish tank. When seen three months later, he had a verrucous, crusted plaque at the site of the injury and two subcutaneous nodules along the line of lymphatic drainage. He was afebrile and asymptomatic but was concerned about the nodules. A punch biopsy of the border of the plaque was obtained. Half was sent for routine histologic analysis and staining for acid-fast bacilli; the results of both were nondiagnostic. The other half was sent for mycobacterial culture at 30 to 33°C, which revealed Mycobacterium marinum. The patient was treated with 100 mg of minocycline orally twice a day. One month later both the plaque and the subcutaneous nodules had disappeared. Therapy was continued for a total of six weeks. The infection did not recur.
Steven F. Wolfe, M.D.
Arnold W. Gurevitch, M.D.
Harbor–UCLA Medical Center, Torrance, CA 90509-2910- Citing Articles (1)
Citing Articles
1
M. WEIR, A. RAJIĆ, L. DUTIL, N. CERNICCHIARO, F. C. UHLAND, B. MERCIER, N. TUŠEVLJAK. (2011) Zoonotic bacteria, antimicrobial use and antimicrobial resistance in ornamental fish: a systematic review of the existing research and survey of aquaculture-allied professionals. Epidemiology and Infection1-15
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