title: Mycobacterium marinum infection following contact with reptiles: vivarium granuloma.
abstract: A 19-year-old man presented with a 1.5-cm nodule on the first dorsal metacarpal ray. The patient denied having contact with fish tanks or fish, but recalled handling many reptiles without gloves in the vivarium where he worked. A culture of a skin biopsy specimen yielded Mycobacterium marinum. The clinical outcome was favourable after a 2-week course of intramuscular gentamicin (180 mg daily) combined with a 6-week course of oral clarithromycin (500 mg twice a day). Doctors should be aware that vivariums, in addition to fish tanks, can be sources of M. marinum exposure.
authors: Aix Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine, 27, Boulevard Jean Moulin, 13005 Marseille, cedex 5, France.
authors: Mehdi
authors: M
authors: Bouricha
authors: Centre Hospitalier d'Ajaccio, Ajaccio, France.
authors: Bernard
authors: B
authors: Castan
authors: Centre Hospitalier de Bastia, Bastia, France.
authors: Elisabeth
authors: E
authors: Duchene-Parisi
authors: Aix Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Faculté de Médecine, 27, Boulevard Jean Moulin, 13005 Marseille, cedex 5, France. Electronic address: michel.drancourt@univ-amu.fr.
authors: Michel
authors: M
authors: Drancourt
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D019910:Mycobacterium marinum / Q000187:drug effects / Q000302:isolation & purification* / Q000472:pathogenicity / Q000502:physiology; D012104:Reptiles / Q000382:microbiology*; D012867:Skin / Q000382:microbiology; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000635:transmission; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D017291:Clarithromycin
keywords: Infection; Mycobacterium marinum; Reptiles