Mycobacterium abscessus Hand Infections in Immunocompetent Fish Handlers: Case Report.
Mycobacterium abscessus hand infections are rare and usually occur in immunocompromised patients or after injection with contaminated injectables. This article describes 2 cases of M abscessus infection of the hand in otherwise healthy fish handlers. Mycobacterium abscessus can cause severe chronic tenosynovitis even in immunocompetent patients and should be suspected alongside the more common M marinum as a cause of nontuberculous mycobacterial hand infections in patients with aquatic and fish exposure.
Kang
Gavin C W
GC
Department of Hand Surgery, Singapore General Hospital, Singapore. gavinkangcw@yahoo.com
Gan
Aaron W T
AW
Yam
Andrew
A
Tan
Agnes B H
AB
Tay
Shian Chao
SC
D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D005260:Female; D005399:Fishes; D005500:Follow-Up Studies; D005511:Food Handling; D006225:Hand / Q000382:microbiology*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008875:Middle Aged; D009161:Mycobacterium / Q000145:classification*; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000276:immunology* / Q000628:therapy*; D009784:Occupational Diseases / Q000382:microbiology*; D035583:Rare Diseases; D017192:Skin Diseases, Bacterial / Q000382:microbiology / Q000628:therapy; D013717:Tenosynovitis / Q000382:microbiology / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents