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Fish-Tank Granuloma: NEJM case report

Fish-Tank Granuloma: NEJM case report

NEJM has published a case study of Fish-Tank Granuloma which has been reported by Steven F. Wolfe, M.D. et al.

A 22-year-old man lacerated the back of his left index finger while cleaning his fish tank. When seen three months later, he had a verrucous, crusted plaque at the site of the injury and two subcutaneous nodules along the line of lymphatic drainage. 

He was afebrile and asymptomatic but was concerned about the nodules. A punch biopsy of the border of the plaque was obtained. Half was sent for routine histologic analysis and staining for acid-fast bacilli; the results of both were nondiagnostic. 

The other half was sent for mycobacterial culture at 30 to 33°C, which revealed Mycobacterium marinum. The patient was treated with 100 mg of minocycline orally twice a day. One month later both the plaque and the subcutaneous nodules had disappeared. Therapy was continued for a total of six weeks. The infection did not recur.

For more details click on the link : DOI: 10.1056/NEJM199704103361505

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Anjali Nimesh

Anjali Nimesh

Anjali Nimesh Joined Medical Dialogue as Reporter in 2016. she covers all the medical specialty news in different medical categories. She also covers the Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in medical filed. She is a graduate from Dr. Bhimrao Ambedkar University. She can be contacted at Contact no. 011-43720751
Source: NEJM

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