{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T03:48:04Z","timestamp":1793850484942,"version":"4.6.1"},"reference-count":18,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,26]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>We report a rare yet typical presentation of a severe infection with <jats:italic>Mycobacterium marinum<\/jats:italic> that affected the deep structure of the hand and wrist of a 43-old fish breeder. A combination therapy of surgical debridement and antibiotic treatment with clarithromycin and ethambutol for 6\u2009months led to a total resolution of the symptoms. Intensive rehabilitation completely restored the function of the hand.<\/jats:p>","DOI":"10.1136\/bcr-2019-229663","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T07:36:53Z","timestamp":1567064213000},"page":"e229663","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Deep infection with <i>Mycobacterium marinum<\/i>: successful treatment of a frequently misdiagnosed disease"],"prefix":"10.1136","volume":"12","author":[{"given":"Roxana","family":"Pop","sequence":"first","affiliation":[{"name":"Universit\u00e4tsSpital Zurich, Klinik f\u00fcr Infektionskrankheiten und Spitalhygiene, Universit\u00e4t Zurich Hauptbibliothek Medizin Careum, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Estermann","sequence":"additional","affiliation":[{"name":"Fachbereich Handchirurgie, Schulthess Klinik, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Schulthess","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr medizinische Mikrobiologie, Universit\u00e4t Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Eberhard","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsSpital Zurich, Klinik f\u00fcr Infektionskrankheiten und Spitalhygiene, Universit\u00e4t Zurich Hauptbibliothek Medizin Careum, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"2025082802542880000_12.8.e229663.1","doi-asserted-by":"publisher","DOI":"10.1086\/376628"},{"key":"2025082802542880000_12.8.e229663.2","first-page":"735","article-title":"\u201cMycobacterium marinum,\u201d Tuberc. Nontuberculous Mycobact","volume":"5","author":"Aubry","year":"2017","journal-title":"Infect. Seventh Ed"},{"key":"2025082802542880000_12.8.e229663.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-62"},{"key":"2025082802542880000_12.8.e229663.4","doi-asserted-by":"publisher","DOI":"10.1038\/168826a0"},{"issue":"1","key":"2025082802542880000_12.8.e229663.5","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.main.2014.12.004","article-title":"Non-tuberculous mycobacterial infections of the hand","volume":"34","author":"Balagu\u00e9","year":"2015","journal-title":"Chir Main"},{"key":"2025082802542880000_12.8.e229663.6","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-23276-8"},{"key":"2025082802542880000_12.8.e229663.7","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.15.1746"},{"key":"2025082802542880000_12.8.e229663.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1396-0296.2004.04051.x"},{"key":"2025082802542880000_12.8.e229663.9","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200604-571ST"},{"key":"2025082802542880000_12.8.e229663.10","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810410004874"},{"key":"2025082802542880000_12.8.e229663.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2015.03.017"},{"key":"2025082802542880000_12.8.e229663.12","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.44.11.3133-3136.2000"},{"key":"2025082802542880000_12.8.e229663.13","doi-asserted-by":"crossref","unstructured":"Nontuberculous T , Brown-elliott BA , Wallace RJ . Crossm in vitro susceptibility testing of mycobacteria , 2017:1747\u201354.","DOI":"10.1128\/JCM.00274-17"},{"key":"2025082802542880000_12.8.e229663.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2009.09.023"},{"key":"2025082802542880000_12.8.e229663.15","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.46.4.1114-1116.2002"},{"key":"2025082802542880000_12.8.e229663.16","first-page":"797","article-title":"\u201cMycobacterium marinum: Ein seltener Fall von sporotrichoider Haut- und Gelenksinfektion bei einem nierentransplantierten Patienten,\u201d","volume":"34","author":"Staub","year":"2003","journal-title":"Swiss Med.Forum"},{"key":"2025082802542880000_12.8.e229663.17","doi-asserted-by":"publisher","DOI":"10.1080\/00365549950163482"},{"issue":"6","key":"2025082802542880000_12.8.e229663.18","first-page":"532","article-title":"Invasive mycobacterium marinum infection of the hand","volume":"47","author":"Flondell","year":"2013","journal-title":"J Plast Surg Hand Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229663","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:54:41Z","timestamp":1756374881000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":18,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,8,28]]},"published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1136\/bcr-2019-229663"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229663","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8]]}}}