Skip to main content
Erschienen in: Infection 3/2017

06.01.2017 | Images in Infection

An unexpected waterborne traveller

verfasst von: N. Riccardi, G. Cenderello, M. Costa, G. Cassola

Erschienen in: Infection | Ausgabe 3/2017

Einloggen, um Zugang zu erhalten

Excerpt

A previously healthy 39-year-old male, presented to our outpatients department for the persistence of two cutaneous plaques with a central ulcer in the right hand, one on D4 and the other one above the fifth metacarpophalangeal joints (MCP5). (Fig. 1, panel a) He had been affected by this problem for 8 months and had been already treated with local cryotherapy without resolution. The biopsy was performed in suspect of Mycobacterium marinum infection since the patient reported no travel to endemic areas, but a hand trauma against a fish tank containing tropical fishes at home. Microbiological culture showed the presence of Mycobacterium ulcerans. A treatment course of 8 weeks with rifampin (600 mg/day) and ciprofloxacin (500 mg bid) led to complete resolution of symptoms (Fig. 1, panel b).
Literatur
1.
Zurück zum Zitat Wansbrough-Jones M, Phillips R. Buruli ulcer: emerging from obscurity. Lancet. 2006;367:1849–58.CrossRefPubMed Wansbrough-Jones M, Phillips R. Buruli ulcer: emerging from obscurity. Lancet. 2006;367:1849–58.CrossRefPubMed
3.
Zurück zum Zitat Tian RD, Lepidi H, Nappez C, Drancourt M. Experimental survival of Mycobacterium ulcerans in watery soil, a potential source of Buruli ulcer. Am J Trop Med Hyg. 2016;94:89–92.CrossRefPubMedPubMedCentral Tian RD, Lepidi H, Nappez C, Drancourt M. Experimental survival of Mycobacterium ulcerans in watery soil, a potential source of Buruli ulcer. Am J Trop Med Hyg. 2016;94:89–92.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Eddyani M, Ofori-Adjei D, Teugels G, De Weirdt D, Boakye D, Meyers WM, Portaels F. Potential role for fish in transmission of Mycobacterium ulcerans disease (Buruli ulcer): an environmental study. Appl Environ Microbiol. 2004;70:5679–81.CrossRefPubMedPubMedCentral Eddyani M, Ofori-Adjei D, Teugels G, De Weirdt D, Boakye D, Meyers WM, Portaels F. Potential role for fish in transmission of Mycobacterium ulcerans disease (Buruli ulcer): an environmental study. Appl Environ Microbiol. 2004;70:5679–81.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Kušar D, Zajc U, Jenčič V, Ocepek M, Higgins J, Žolnir-Dovč M, Pate M. Mycobacteria in aquarium fish: results of a 3-year survey indicate caution required in handling pet-shop fish. J Fish Dis. 2016. doi:10.1111/jfd.12558.PubMed Kušar D, Zajc U, Jenčič V, Ocepek M, Higgins J, Žolnir-Dovč M, Pate M. Mycobacteria in aquarium fish: results of a 3-year survey indicate caution required in handling pet-shop fish. J Fish Dis. 2016. doi:10.​1111/​jfd.​12558.PubMed
Metadaten
Titel
An unexpected waterborne traveller
verfasst von
N. Riccardi
G. Cenderello
M. Costa
G. Cassola
Publikationsdatum
06.01.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Infection / Ausgabe 3/2017
Print ISSN: 0300-8126
Elektronische ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-016-0979-7

Weitere Artikel der Ausgabe 3/2017

Infection 3/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.