Mycobacterium marinum tenosynovitis in a Long Island fisherman

Richard Wagner, A. B. Tawil, A. J. Colletta, L. C. Hurst, L. D. Yecies

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The purpose of this report is to alert physicians to the occurrence of a seldom appreciated infection in man caused by Mycobacterium marinum, an atypical mycobacterium found in several species of fish living in Long Island Sound. Lesions caused by M. marinum are useful of three types: 1) a self-limited verrucous lesion; 2) an ulcerative skin lesion which may or may not lead to granuloma formation in the subcutaneous tissue; and 3) a deep-seated or a disseminated variety involving lymphatics, tenosynovium, joint space, bursa, or bone. Antibiotics of the tetracycline class (tetracycline and minocycline hydrochloride) are effective in treatment of M. marinum infections. M. marinum is resistant to isoniazid and para-aminosalicylic acid with variable resistance to streptomycin. In a review of literature, it is clear that M. marinum resistance to these drugs is highly variable, while the organism appears to be sensitive to ethambutol, rifampin, cycloserine, and ethionamide as noted by several authors. Combination therapy antituberculous drugs should consist of at least ethambutol (10 to 25 mg. per kilogram per day) and rifampin (7 mg per kilogram per day) for a period of time lasting from six weeks to several months. Cycloserine and ethionamide should be considered as additional or alternative agents.

Original languageEnglish (US)
Pages (from-to)1091-1094
Number of pages4
JournalNew York State Journal of Medicine
Volume81
Issue number7
StatePublished - 1981
Externally publishedYes

Fingerprint

Mycobacterium marinum
Tenosynovitis
Islands
Ethionamide
Cycloserine
Ethambutol
Rifampin
Tetracycline
Aminosalicylic Acid
Nontuberculous Mycobacteria
Minocycline
Subcutaneous Tissue
Isoniazid
Streptomycin
Combination Drug Therapy
Granuloma
Drug Resistance
Fishes
Joints
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wagner, R., Tawil, A. B., Colletta, A. J., Hurst, L. C., & Yecies, L. D. (1981). Mycobacterium marinum tenosynovitis in a Long Island fisherman. New York State Journal of Medicine, 81(7), 1091-1094.

Mycobacterium marinum tenosynovitis in a Long Island fisherman. / Wagner, Richard; Tawil, A. B.; Colletta, A. J.; Hurst, L. C.; Yecies, L. D.

In: New York State Journal of Medicine, Vol. 81, No. 7, 1981, p. 1091-1094.

Research output: Contribution to journalArticle

Wagner, R, Tawil, AB, Colletta, AJ, Hurst, LC & Yecies, LD 1981, 'Mycobacterium marinum tenosynovitis in a Long Island fisherman', New York State Journal of Medicine, vol. 81, no. 7, pp. 1091-1094.
Wagner R, Tawil AB, Colletta AJ, Hurst LC, Yecies LD. Mycobacterium marinum tenosynovitis in a Long Island fisherman. New York State Journal of Medicine. 1981;81(7):1091-1094.
Wagner, Richard ; Tawil, A. B. ; Colletta, A. J. ; Hurst, L. C. ; Yecies, L. D. / Mycobacterium marinum tenosynovitis in a Long Island fisherman. In: New York State Journal of Medicine. 1981 ; Vol. 81, No. 7. pp. 1091-1094.
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