Umrawsingh A, Huggon A
Emergency Department, Queen Elizabeth Hospital, Woolwich, London, UK.
Emerg Med J. 2006 Aug;23(8):e47. doi: 10.1136/emj.2006.036004.
Mycobacterium marinum infections (fish tank granuloma) are infrequently encountered and when they do arise, they can pose a diagnostic challenge for clinicians. They can present as non-healing wounds along with several other presentations that may not be typical, as patients can have other comorbidities that cause immunosuppression and invasive symptoms of the disease. Treatment regimens vary in length, and are based on the patient's response to treatment couple with resolution of symptoms. Rifampicin and ethambutol are effective treatment options, together with use of macrolides. A thorough history from patients must be taken as to establish contact with aquatic animals.
海分枝杆菌感染（鱼缸肉芽肿）并不常见，一旦发生，可能给临床医生带来诊断挑战。其表现可为不愈合伤口以及其他一些不典型表现，因为患者可能有导致免疫抑制和该疾病侵袭性症状的其他合并症。治疗方案疗程各异，且基于患者对治疗的反应及症状缓解情况。利福平和乙胺丁醇是有效的治疗选择，同时可使用大环内酯类药物。必须详细询问患者病史，以确定其是否接触过水生动物。
