Infect Chemother.  2018 Mar;50(1):59-64. 10.3947/ic.2018.50.1.59.

Disseminated Invasive Mycobacterium marinum Infection Involving the Lung of a Patient with Diabetes Mellitus

• Oh TH
• Kim UJ
• Kang SJ
• Jang HC
• Park KH
• Jung SI
• Ahn JH

• KMID: 2407972
• DOI: http://doi.org/10.3947/ic.2018.50.1.59

Abstract

Mycobacterium marinum infection in humans occurs mainly as a granulomatous infection after exposure of traumatized skin to contaminated water. It is usually confined to the skin and soft tissue. Disseminated disease involving other organs rarely occurs in immunocompetent patients. Here, we report a case of disseminated M. marinum infection involving not only the cutaneous tissue, but also the lung of a male patient with uncontrolled diabetes and a previous history of steroid injection who was employed by a deep-water fishery.

Keyword

Mycobacterium marinum; Lung; Diabetes mellitus; Steroids

MeSH Terms

Diabetes Mellitus*
Fisheries
Humans
Lung*
Male
Mycobacterium marinum*
Mycobacterium*
Skin
Steroids
Water
Steroids
Water

Figure

• 

  Figure 1 Photographs of multiple erythematous tender nodules and pustules (arrow) distributed over the face (A) and lower extremities (B). Computed tomography of the face showing multiple, variable-sized, peripherally enhanced, round lesions (arrow) in the subcutaneous layer (C). Computed tomography of the femur showing longitudinal tubular abscess pockets (arrow) in the subcutaneous layer of both thighs, together with fat necrosis (D).

• 

  Figure 2 Chest computed tomography shows multiple variable-sized peribronchial nodules (arrow) in both upper lungs (A) and peribronchial consolidation (arrow) with perilesional ground glass opacities and interstitial thickening in the medial segment of the right middle lobe (B).

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