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head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue1
Subject Area: Medicine
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DOI: 10.5272/jimab.2024301.5332
Published online: 30 January 2024

Case report
J of IMAB. 2024 Jan-Mar;30(1):5332-5335
ATYPICAL MYCOBACTERIAL INFECTION
Aleksander Popov1ORCID logoCorresponding Autoremail, Klimentina Gospodinova1ORCID logo, Milen Karaivanov2ORCID logo,
1) Department of Dermatology, Venereology and Allergology, Medical University - Pleven, Bulgaria.
2) Department of General and Clinical Pathology, Medical University - Pleven, Bulgaria.

ABSTRACT:
We describe a 47-year-old healthy man who, after an injury to the third finger of the right hand, developed a reddened papule that did not disappear. Over a period of three months, edema developed on the finger and dorsum of the right hand, followed by several variegated nodules along the 3rd finger, dorsum of the right hand, and right forearm. There are no subjective complaints. The patient has an aquarium at home, and the complaints coincide with a period of growth of the fish in it. The diagnosis of Mycobacterium marinum infection is made on the basis of history, clinical picture, histology and molecular genetic testing for mycobacteria. Treatment with numerous antibacterial agents was carried out, and the long-term (9 months) therapy with clarithromycin, rifampicin and ethambutol, appointed after the diagnostic clarification, led to the cure of the infection. A brief review of the literature on the issue is made.

Keywords: atypical mycobacteria, mycobacterium marinum, granulomatous inflammation, aquarium,

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Please cite this article as: Popov A, Gospodinova K, Karaivanov M. Atypical Mycobacterial Infection. J of IMAB. 2024 Jan-Mar;30(1):5332-5335. [Crossref - 10.5272/jimab.2024301.5332]

Corresponding AutorCorrespondence to: Aleksander Krasimirov Popov, Department of Dermatology, venereology and allergology, Medical University – Pleven; 91, General Vladimir Vazov Str., Pleven-5800, Bulgaria; E-mail: ak_popov@yahoo.com

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Received: 12 October 2023
Published online: 30 January 2024

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