title: Why you should ask your patients about their fishing hobbies.
abstract: Patients who use immunosuppressive agents, in particular medication that blocks tumour necrosis factor-a, are at risk for mycobacterial infections. Besides the typical Mycobacterium tuberculosis infection, a lso a typical mycobacterial disease may occur. Here we demonstrate two patients with such atypical mycobacterial infection due to swimming and fishing water contact. We propose that patients, before starting with immunosuppressive therapy, are counselled about risk factors for mycobacterial disease.
authors.affiliation: Department of Dermatology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
authors.forename: C V
authors.initials: CV
authors.lastname: Bakker
authors.forename: S H
authors.initials: SH
authors.lastname: Kardaun
authors.forename: K R
authors.initials: KR
authors.lastname: Wilting
authors.forename: G F H
authors.initials: GF
authors.lastname: Diercks
authors.forename: B
authors.initials: B
authors.lastname: Horváth
mesh_terms: D000068879:Adalimumab; D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D061067:Antibodies, Monoclonal, Humanized / Q000627:therapeutic use*; D001172:Arthritis, Rheumatoid / Q000188:drug therapy; D005399:Fishes; D006686:Hobbies; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000382:microbiology*; D019910:Mycobacterium marinum; D017192:Skin Diseases, Bacterial / Q000382:microbiology*; D013550:Swimming; D014382:Tuberculosis, Cutaneous; D014409:Tumor Necrosis Factor-alpha / Q000037:antagonists & inhibitors
chemical_list: D000900:Anti-Bacterial Agents; D061067:Antibodies, Monoclonal, Humanized; D007166:Immunosuppressive Agents; D014409:Tumor Necrosis Factor-alpha; D000068879:Adalimumab