title: Antimicrobial treatment of fish tank granuloma.
abstract: Three patients with fish tank granuloma of the hand and forearm are reported. Each patient was treated with antimicrobial regimes which have rarely or never been previously used in this condition. Two patients responded well to treatment, one who received ciprofloxacin plus clarithromycin and another who was given clarithromycin plus ethambutol. The third patient received six different antimicrobial regimes before responding to a combination of rifabutin and ciprofloxacin. Our experience suggests that there now exist a number of effective alternatives to antimicrobials which have been traditionally used in the treatment of cutaneous Mycobacterium marinum infection.
authors.affiliation: Regional Infectious Diseases Unit, City Hospital, Edinburgh, UK.
authors.forename: R B
authors.initials: RB
authors.lastname: Laing
authors.forename: P J
authors.initials: PJ
authors.lastname: Flegg
authors.forename: B
authors.initials: B
authors.lastname: Watt
authors.forename: C L
authors.initials: CL
authors.lastname: Leen
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use*; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005260:Female; D005399:Fishes / Q000382:microbiology*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy* / Q000635:transmission; D014382:Tuberculosis, Cutaneous / Q000188:drug therapy* / Q000635:transmission
chemical_list: D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular