We report a rare yet typical presentation of a severe infection with Mycobacterium marinum that affected the deep structure of the hand and wrist of a 43-old fish breeder. A combination therapy of surgical debridement and antibiotic treatment with clarithromycin and ethambutol for 6 months led to a total resolution of the symptoms. Intensive rehabilitation completely restored the function of the hand.
- bone and joint infections
- drugs: infectious diseases
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Contributors NE contributed to the plan, conception and design as well as interpretation of the data. LE contributed by providing MRI pictures and a part of the clinical pictures of the hand. BS contributed by the acquisition and analysis and interpretation of the microbiological data. Myself, RP, I am the corresponding author and contributed to the conduction, plan, conception and design of the work, as well as to the acquisition and analysis/interpretation of the data.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.
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