Fish Tank Granuloma Caused by Mycobacterium marinum in Two Aquarists: Two Case Reports
Table 1
Cutaneous infection of Mycobacterium marinum in two patients.
Patient no.
Age/sex
Case background
Drug therapy
Regimen
Course
Treated
(1)
25/m
Hobby aquarist who cleaned injured knee with a brush usually used to clean the aquarium
Clarithromycin
Infiltrate with visible crusts together with two subcutaneous resistances on the left knee
Extirpation of subcutaneous nodule because positivity for M. marinum in the sample of exploratorily excised cutaneous tissue was not detected
Yes
Clarithromycin Ethambutol
Treatment changed due to the insufficient clinical response in the area of subcutaneous resistance
(2)
60/m
Patient with a professional interest in fish breeding reported finger injury during aquaria cleaning
Methylprednisolone Methotrexate
Suspected rheumatoid arthritis due to swelling of the index finger joint Immunosuppression contributed to the hematogenous spread of infection
Yes
Clarithromycin Ethambutol
Insufficient clinical response in the area of the right hand
Severe right-hand oligoarthritis Osteomyelitis of the affected metacarpophalangeal joints Orchiectomy due to inflammation and necrosis in the epididymis with continuous spreading to the testis Surgical removal of the ring finger
