[Mycobacterium marinum infection. Case report and review of the literature].
Atypical mycobacterial infections are increasingly important in immunosuppressed patients as well as in healthy hosts. The atypical mycobacterium that most commonly affects the skin is Mycobacterium marinum. The infection should be suspected upon the presence of ulcers, nodules or chronic plaques and a history of contact with fresh or salt water. Optimal therapy is yet to be established. We report a case of Mycobacterium marinum infection in a patient receiving immunosuppressive therapy that responded favourably to treatment with doxicycline. We review the different antibiotic regimens prescribed in the past years for the treatment of Mycobacterium marinum infection.
García Acebes
C R
CR
Servicio de Dermatología, Hospital Clínico San Carlos, Madrid, Spain. carmen_rgacebes@yahoo.es
Barchino Ortiz
L
L
Aboín González
S
S
Díaz Ley
B
B
Ruiz Fernández
P
P
Sánchez de Paz
F
F
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001379:Azathioprine / Q000009:adverse effects / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D018409:Foot Injuries / Q000150:complications / Q000382:microbiology; D016523:Foot Ulcer / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D007871:Leg Ulcer / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D008727:Methotrexate / Q000009:adverse effects / Q000627:therapeutic use; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D019910:Mycobacterium marinum / Q000302:isolation & purification*; D012623:Seawater / Q000382:microbiology; D013167:Spondylitis, Ankylosing / Q000150:complications / Q000188:drug therapy; D014946:Wound Infection / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents; D001379:Azathioprine; D004318:Doxycycline; D008727:Methotrexate