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Journal of Bone and Joint Surgery, 1973;55:1042-1050.
© 1973 by The Journal of Bone and Joint Surgery, Inc


Mycobacterium marinum (Atypical Acid-Fast Bacillus) Infections of the Hand

A REPORT OF SIX CASES

CLAUDE S. WILLIAMS M.D.1 and DANIEL C. RIORDAN M.D.1

1 1538 Louisiana Avenue, New Orleans, Louisiana 70115

Six cases of Mycobacterium marinum infections of the deeper structures of the hand are described which clinically and histologically were indistinguishable from tuberculosis. The infections became worse with steroid therapy. Surgical débridement with appropriate drug therapy (ethambutol or rifampin) was the treatment of choice. The organism must be suspected and then cultured at 30 to 32 degrees centigrade instead of the usual 37 degrees.


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