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Article: Review article: Mycobacterium marinum infection of the hand and wrist.
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TitleReview article: Mycobacterium marinum infection of the hand and wrist.
 
AuthorsCheung, JP1
Fung, B
Wong, SS
Ip, WY
 
Issue Date2010
 
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
 
CitationJournal Of Orthopaedic Surgery (Hong Kong), 2010, v. 18 n. 1, p. 98-103 [How to Cite?]
 
AbstractMisdiagnosis and delayed treatment of Mycobacterium marinum infection is common because of its diverse manifestations. This leads to inappropriate use of antimicrobials, extension of the infection from the skin to the tenosynovium, and a poor prognosis (loss of tendons and prolonged immobilisation, secondary to multiple debridements and joint contractures). Clinicians should be aware of this type of infection, especially in subjects at risk (fishermen and aquarium enthusiasts), and those with a history of trauma coupled with exposure to water or marine life. A proactive approach to obtain a biopsy for histopathological and microbiological diagnosis is advised. Anti-mycobacterial treatment should be started promptly. The combined use of rifampicin, ethambutol, and clarithromycin appears to be effective, and debridement is indicated in patients with deep-seated infections.
 
ISSN1022-5536
2012 SCImago Journal Rankings: 0.374
 
DC FieldValue
dc.contributor.authorCheung, JP
 
dc.contributor.authorFung, B
 
dc.contributor.authorWong, SS
 
dc.contributor.authorIp, WY
 
dc.date.accessioned2010-10-31T11:16:01Z
 
dc.date.available2010-10-31T11:16:01Z
 
dc.date.issued2010
 
dc.description.abstractMisdiagnosis and delayed treatment of Mycobacterium marinum infection is common because of its diverse manifestations. This leads to inappropriate use of antimicrobials, extension of the infection from the skin to the tenosynovium, and a poor prognosis (loss of tendons and prolonged immobilisation, secondary to multiple debridements and joint contractures). Clinicians should be aware of this type of infection, especially in subjects at risk (fishermen and aquarium enthusiasts), and those with a history of trauma coupled with exposure to water or marine life. A proactive approach to obtain a biopsy for histopathological and microbiological diagnosis is advised. Anti-mycobacterial treatment should be started promptly. The combined use of rifampicin, ethambutol, and clarithromycin appears to be effective, and debridement is indicated in patients with deep-seated infections.
 
dc.description.naturepublished_or_final_version
 
dc.identifier.citationJournal Of Orthopaedic Surgery (Hong Kong), 2010, v. 18 n. 1, p. 98-103 [How to Cite?]
 
dc.identifier.epage103
 
dc.identifier.hkuros178686
 
dc.identifier.hkuros212325
 
dc.identifier.issn1022-5536
2012 SCImago Journal Rankings: 0.374
 
dc.identifier.issue1
 
dc.identifier.openurl
 
dc.identifier.pmid20427845
 
dc.identifier.scopuseid_2-s2.0-77955501976
 
dc.identifier.spage98
 
dc.identifier.urihttp://hdl.handle.net/10722/125180
 
dc.identifier.volume18
 
dc.languageeng
 
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
 
dc.publisher.placeHong Kong
 
dc.relation.ispartofJournal of orthopaedic surgery (Hong Kong)
 
dc.rightsJournal of Orthopaedic Surgery. Copyright © Hong Kong Academy of Medicine Press.
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.subject.meshHand
 
dc.subject.meshMycobacterium Infections, Atypical - complications - diagnosis - therapy
 
dc.subject.meshMycobacterium marinum
 
dc.subject.meshTenosynovitis - diagnosis - microbiology - therapy
 
dc.subject.meshWrist
 
dc.titleReview article: Mycobacterium marinum infection of the hand and wrist.
 
dc.typeArticle
 
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<contributor.author>Ip, WY</contributor.author>
<date.accessioned>2010-10-31T11:16:01Z</date.accessioned>
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<date.issued>2010</date.issued>
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<description.abstract>Misdiagnosis and delayed treatment of Mycobacterium marinum infection is common because of its diverse manifestations. This leads to inappropriate use of antimicrobials, extension of the infection from the skin to the tenosynovium, and a poor prognosis (loss of tendons and prolonged immobilisation, secondary to multiple debridements and joint contractures). Clinicians should be aware of this type of infection, especially in subjects at risk (fishermen and aquarium enthusiasts), and those with a history of trauma coupled with exposure to water or marine life. A proactive approach to obtain a biopsy for histopathological and microbiological diagnosis is advised. Anti-mycobacterial treatment should be started promptly. The combined use of rifampicin, ethambutol, and clarithromycin appears to be effective, and debridement is indicated in patients with deep-seated infections.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong