Clinical Implications for the Timely Diagnosis of Mycobacterium marinum in the Age of Biologic Therapy: A Case Report and Review of the Literature
Joint Authors
Vaughan, Stephen
Lata, Chris J.
Edgar, Kelle
Source
Case Reports in Infectious Diseases
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Mycobacterium marinum infections typically present as cutaneous nodular lesions with a sporotrichoid lymphatic spread on extensor surfaces of extremities.
The natural history of this infection can be altered if the host is immunosuppressed, leading to disseminated presentations.
A detailed exposure history and high degree of suspicion for this indolent pathogen are often required for the correct diagnosis of this disease.
We present a case of a 67-year-old male misdiagnosed with seronegative rheumatoid arthritis presenting with rheumatic nodules.
Initiation of chronic immunosuppressant therapy including biologic monoclonal antibodies resulted in the exacerbation of initially localized disease to broadly disseminated lymphatic, joint, and myotendinous granulomatous disease and led to delay in the correct diagnosis.
Cessation of immunosuppressants, with a prolonged course of antimicrobial therapy and multiple surgical debridements were required for cure.
American Psychological Association (APA)
Lata, Chris J.& Edgar, Kelle& Vaughan, Stephen. 2017. Clinical Implications for the Timely Diagnosis of Mycobacterium marinum in the Age of Biologic Therapy: A Case Report and Review of the Literature. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146338
Modern Language Association (MLA)
Lata, Chris J.…[et al.]. Clinical Implications for the Timely Diagnosis of Mycobacterium marinum in the Age of Biologic Therapy: A Case Report and Review of the Literature. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1146338
American Medical Association (AMA)
Lata, Chris J.& Edgar, Kelle& Vaughan, Stephen. Clinical Implications for the Timely Diagnosis of Mycobacterium marinum in the Age of Biologic Therapy: A Case Report and Review of the Literature. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1146338
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146338