{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:21:22Z","timestamp":1783948882973,"version":"3.55.0"},"reference-count":9,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Mycobacterium marinum<\/jats:italic> is a ubiquitous water\u2010borne non\u2010tuberculous mycobacterial (NTM) pathogen. In humans, <jats:italic>M. marinum<\/jats:italic> infections are acquired through direct inoculation of skin wounds and are almost exclusively localized to skin and soft tissues. Pulmonary infection with <jats:italic>M. marinum<\/jats:italic> is extremely rare, and to our knowledge, invasive endobronchial disease has not been reported. Here, we present a case of a 71\u2010year\u2010old immunocompetent male surfer with invasive endotracheal <jats:italic>M. marinum<\/jats:italic> granulomatous disease. The patient was successfully cured with a regimen of azithromycin 250\u2009mg daily, ethambutol 900\u2009mg (15 mg\/kg) daily and rifampicin 600\u2009mg daily for 12 months following culture conversion. This case highlights several important concepts: Firstly, <jats:italic>M. marinum<\/jats:italic> infection, including invasive endobronchial infection, should be considered a rare cause of NTM pulmonary disease. Secondly, endotracheal infection can be successfully eradicated with this selected therapeutic regimen. Finally, the absence of <jats:italic>M<\/jats:italic>. <jats:italic>marinum<\/jats:italic> skin or soft\u2010tissue infection in this patient, raises the possibility that human disease might also be acquired via inhalation of <jats:italic>M<\/jats:italic>. <jats:italic>marinum<\/jats:italic> contaminated water in rare circumstances.<\/jats:p>","DOI":"10.1002\/rcr2.1211","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T01:59:10Z","timestamp":1693533550000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A mariner's tale: Invasive endotracheal <i>Mycobacterium marinum<\/i> infection"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0653-0286","authenticated-orcid":false,"given":"Peter T.","family":"Bell","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine Sunshine Coast University Hospital  Birtinya Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Sunshine Coast University Hospital  Birtinya Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Coulter","sequence":"additional","affiliation":[{"name":"Queensland Mycobacterial Reference Laboratory, Pathology Queensland Royal Brisbane Women's Hospital Campus  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Dettrick","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Queensland Australia"},{"name":"Pathology Queensland Sunshine Coast University Hospital  Birtinya Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"University of Queensland Centre for Clinical Research, Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Baird","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Sunshine Coast University Hospital  Birtinya Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.TNMI7-0038-2016"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.15.1746"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/426693"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0036933016680161"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.11150\/kansenshogakuzasshi.86.139"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365540500277540"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa241"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2751"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.650637"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.1211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T14:44:22Z","timestamp":1695825862000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.1211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,31]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/rcr2.1211"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.1211","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,31]]},"assertion":[{"value":"2023-07-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e01211"}}