title: Persistent ulcers on the hand of an aquarium owner.
abstract: We present a patient with skin ulcers that did not respond to a 3-week course of treatment with amoxicillin-clavulanic acid. As the patient maintained a fish aquarium, mycobacterial infection was suspected. Indeed, reassessment of histopathology revealed acid-fast bacilli, and mycobacterial cultures at 30 degrees C grew Mycobacterium marinum. Eventually, surgical reconstruction of the tendons was needed.
authors.affiliation: Department of Internal Medicine, University Hospitals, Basel, Switzerland.
authors.forename: Andrej
authors.initials: A
authors.lastname: Trampuz
authors.forename: Christian
authors.initials: C
authors.lastname: Garzoni
authors.forename: Ursula
authors.initials: U
authors.lastname: Fluckiger
authors.forename: Werner
authors.initials: W
authors.lastname: Zimmerli
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000995:Antitubercular Agents / Q000008:administration & dosage; D002908:Chronic Disease; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006225:Hand; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy; D019910:Mycobacterium marinum / Q000302:isolation & purification*; D018570:Risk Assessment; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents