Fish tank granuloma not associated to Mycobacterium marinum but to Microbacterium paraoxydans.

Alberto Fica, Alejandra Kutscher, Carla Lillo, Gabriela Bustamante, Javier Olmos, Jorge Hernández, Juan Vargas
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Abstract

Fish tank granuloma has traditionally been associated with Mycobacterium marinum. We report the case of a 54 old-year woman that worked in a freshwater fish pet store and developed a skin ulcer in a hand finger with a suppurative granuloma secondary to Microbacterium paraoxydans. This is a bacterial fish pathogen, rarely observed in human infections. Identification was performed by colony morphology and MALDI-TOF. She evolved satisfactorily after receiving a sequential treatment with beta-lactams and linezolid. To our knowledge, it is the first known description of this type.

鱼缸肉芽肿与海洋分枝杆菌(Mycobacterium marinum)无关,而是与副氧单胞菌(Microbacterium paraoxydans)有关。
鱼缸肉芽肿历来与海洋分枝杆菌有关。我们报告了一例 54 岁女性的病例,她在一家淡水鱼宠物店工作,手部手指出现皮肤溃疡,并继发化脓性肉芽肿,这是由副氧单胞菌(Microbacterium paraoxydans)引起的。这是一种细菌性鱼类病原体,很少出现在人类感染病例中。通过菌落形态学和 MALDI-TOF 进行了鉴定。在先后接受了β-内酰胺类和利奈唑胺类药物治疗后,她的病情发展令人满意。据我们所知,这是首次描述这种类型的病原体。
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