Borradori L, Baudraz-Rosselet F, Beer V, Monnier M, Frenk E
Service de dermatologie et vénéréologie et Institut de microbiologie, CHUV, Lausanne.
Schweiz Med Wochenschr. 1991 Sep 14;121(37):1340-4.
A 43-year-old fish fancier with fish tank granuloma presented with a sporotrichoid-like skin infection of the right arm with multiple papulo-nodular lesions along the lymphatic drainage. Acid fast bacilli were found in skin biopsy specimens and Mycobacterium marinum grew in cultures. The clinical and histopathological findings in M. marinum infection are reviewed and the differential diagnosis, laboratory findings with this atypical mycobacterium, and therapeutic modalities are discussed. Finally, the importance of an adequate and pertinent patient's history for a correct and timely diagnosis is stressed.
一名43岁的鱼缸肉芽肿养鱼爱好者，右臂出现类似孢子丝菌病的皮肤感染，沿淋巴引流有多个丘疹结节性病变。皮肤活检标本中发现抗酸杆菌，培养出了海分枝杆菌。本文回顾了海分枝杆菌感染的临床和组织病理学表现，并讨论了鉴别诊断、该非典型分枝杆菌的实验室检查结果及治疗方式。最后强调了详尽且相关的患者病史对于正确及时诊断的重要性。
