Swimming pool granuloma
Last Updated: 2019-08-26
ICD11: -
Last Updated: 2019-08-26
Author(s): Anzengruber F., Navarini A.
ICD11: -
Fischtankgranulom, Aquariumgranulom, swimming pool granuloma, fish tank granuloma, fish fancier's finger, surfers' nodules, fish-handlers' nodules.
Atpygian mycobacteriosis. Infectious disease caused by Mycobacterium marinum. The contact to mostly tropical ornamental fish is groundbreaking for the diagnosis.
Inoculation of the pathogens by small skin lesions when cleaning an aquarium, or when swimming, diving, etc.
Erythematous-blueish, ulcerating nodule or granulomas. Spreading from the skin into deeper tissue including joints and bones is possible.
Clinic.
Tubercle with central necrosis.
Wear gloves when cleaning the aquarium.
Doxycycline p.o. 100 mg 2x per day
Clarithromycin p.o. 1000 mg 1x per day
Cotrimoxazole (sulfamethoxazole/trimethoprim) p.o. 800/160mg 2x per day
Cryosurgery.
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