| A case of mycobacterium marinum hand infection with tenosynovitis |
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Won Gu Kim, Beom-Jun Kim, Sang Jin Lee, Jae Keun Lee, Yang Soo Kim, Jun Hee Woo, Sang-Ho Choi |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : Mycobacterium marinum에 의한 수부 건초염 1예 |
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김원구&#;김범준&#;이상진&#;이재근&#;김양수&#;우준희&#;최상호, Beom-Jun Kim, Sang Jin Lee, Jae Keun Lee, Yang Soo Kim, Jun Hee Woo, Sang-Ho Choi |
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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) |
| Key Words:
Mycobacterium marinum, Hand injuries, Tenosynovitis |
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