Mycobacterium marinum - Revision history

ClaireLewis: /* Clinical Features */

2019-09-27T22:59:58Z

Clinical Features

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	[[File:Fish_Tank_Granuloma_picture_1.jpg\|thumb\|Fish tank granuloma. <ref>Ryan, J and Bryant G. "Fish tank granuloma - a frequently misdiagnosed infection of the upper limb." J Accid Emerg Med. 1997 Nov; 14(6): 398–400.</ref>]]		[[File:Fish_Tank_Granuloma_picture_1.jpg\|thumb\|Fish tank granuloma. <ref>Ryan, J and Bryant G. "Fish tank granuloma - a frequently misdiagnosed infection of the upper limb." J Accid Emerg Med. 1997 Nov; 14(6): 398–400.</ref>]]
	[[File:Fish_tank_granuloma_4.png\|thumb\|Fish tank granuloma spreading via lymphatic channels.]]		[[File:Fish_tank_granuloma_4.png\|thumb\|Fish tank granuloma spreading via lymphatic channels.]]
	*Solitary to multiple superficial red nodules or plaques in exposed areas		*Solitary to multiple superficial red [[rash\|nodules]] or plaques in exposed areas
	**Lesions on the hands and fingers if works with aquariums, or the knees and elbows in swimmers		**Lesions on the hands and fingers if works with aquariums, or the knees and elbows in swimmers
	*Ascending lymphangitis that resembles [[~~Sporotrichosis~~]]		*Ascending [[lymphangitis]] that resembles [[sporotrichosis]]

	==Differential Diagnosis==		==Differential Diagnosis==

2016-07-24T00:36:33Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 00:36, 24 July 2016
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	{{SSTI DDX}}		{{SSTI DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Clinical diagnosis in ED		*Clinical diagnosis in ED
	*Can be aided by histopathology		*Can be aided by histopathology

2016-07-08T00:57:57Z

Text replacement - "# " to "#"

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	==Management==		==Management==
	# Long-term antibiotic therapy (2-18 weeks)		#Long-term antibiotic therapy (2-18 weeks)
	#*Monotherapy with [[doxycycline]], [[clarithromycin]], [[bactrim]], or [[minocycline]]<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref>		#*Monotherapy with [[doxycycline]], [[clarithromycin]], [[bactrim]], or [[minocycline]]<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref>
	#*Secondary to drug high levels of drug resistance, may require dual drug therapy		#*Secondary to drug high levels of drug resistance, may require dual drug therapy
	# Warm compresses (bacterium is heat-sensitive)		#Warm compresses (bacterium is heat-sensitive)

	==Disposition==		==Disposition==

2016-03-22T13:13:59Z

Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-18T15:28:39Z

Diagnosis

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	*Clinical diagnosis in ED		*Clinical diagnosis in ED
	*Can be aided by histopathology		*Can be aided by histopathology
	*If there is affected ~~joints~~ it is important to evaluate for a [[septic ~~joint~~]]		*If there is an affected joint it is important to evaluate for a [[septic arthritis]]
	*If there are draining wounds consider imaging and evaluate for [[osteomyelitis]]		*If there are draining wounds consider imaging and evaluate for [[osteomyelitis]]

2016-03-18T15:28:20Z

Diagnosis

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	*Clinical diagnosis in ED		*Clinical diagnosis in ED
	*Can be aided by histopathology		*Can be aided by histopathology
			*If there is affected joints it is important to evaluate for a [[septic joint]]
			*If there are draining wounds consider imaging and evaluate for [[osteomyelitis]]

	==Management==		==Management==

2016-03-18T15:26:43Z

Disposition

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	==Disposition==		==Disposition==
	*Unless the patient has evidence of sepsis, severe pain, or has other severe complicating medical problems, outpatient treatment is acceptable.		*Unless the patient has evidence of sepsis, severe pain, or has other severe complicating medical problems, outpatient treatment is acceptable.
			==Clinical Course==
			*M marinum infection may result in non-healing ulcers or a septic arthritis.
			*Aggressive or long standing . marinum infection may cause severe osteomyelitis requiring surgical debreedment

	==See Also==		==See Also==

2016-03-18T15:24:55Z

External Links

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	==External Links==		==External Links==
			*[https://a816-health30ssl.nyc.gov/sites/nychan/Lists/AlertUpdateAdvisoryDocuments/Mycobacterium%20marinum%20outbreak.pdf NYC Chinatown M. marinum outbreak]

	==References==		==References==

2016-03-18T15:23:38Z

Disposition

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	==Disposition==		==Disposition==
			*Unless the patient has evidence of sepsis, severe pain, or has other severe complicating medical problems, outpatient treatment is acceptable.

	==See Also==		==See Also==

2016-03-18T15:22:24Z

Management

← Older revision		Revision as of 15:22, 18 March 2016
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	==Management==		==Management==
	# Long-term antibiotic therapy		# Long-term antibiotic therapy (2-18 weeks)
	#*Monotherapy with [[doxycycline]], [[clarithromycin]], [[bactrim]], or [[minocycline]]<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref>		#*Monotherapy with [[doxycycline]], [[clarithromycin]], [[bactrim]], or [[minocycline]]<ref>Petrini, B; "Mycobacterium Marinum: ubiquitous Agent of Waterborne Granulomatous Skin Infections." European Journal of Clinical Microbiology and Infectious Diseases. October 2006, Volume 25, Issue 10, pp 609-613</ref><ref>Rallis, E; Koumantaki-Mathioudaki, E; "Treatment of Mycobacterium Marinum Cutaneous Infections." Expert Opinion on Pharmacotherapy. Volume 8, Issue 17, 2007</ref>
	#*Secondary to drug high levels of drug resistance, may require dual drug therapy		#*Secondary to drug high levels of drug resistance, may require dual drug therapy