Jõe L, Hall E
Anne Arundel County Department of Health, USA.
Md Med J. 1995 Dec;44(12):1043-6.
A retrospective survey of 41 cases of culture-positive Mycobacterium marinum disease in Anne Arundel County, Maryland, showed that most infection was related to recreational exposure to the Chesapeake Bay and its tributaries. Three quarters of cases consisted of skin or joint/tendon infection of the upper extremity, particularly the hand. An empiric drug regimen for a granulomatous soft tissue infection in this context should include rifampin and ethambutol or cotrimoxazole (trimethoprim/sulfamethoxazole). A reactive tuberculin skin test in Anne Arundel County is more likely to represent M. marinum infection than tuberculous infection.
对马里兰州安妮阿伦德尔县41例培养阳性的海分枝杆菌病病例进行的回顾性调查显示，大多数感染与在切萨皮克湾及其支流进行娱乐活动时接触有关。四分之三的病例为上肢皮肤或关节/肌腱感染，尤其是手部。在这种情况下，针对肉芽肿性软组织感染的经验性药物治疗方案应包括利福平和乙胺丁醇或复方新诺明（甲氧苄啶/磺胺甲恶唑）。在安妮阿伦德尔县，反应性结核菌素皮肤试验更有可能代表海分枝杆菌感染而非结核感染。
