{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:22:48Z","timestamp":1777681368739,"version":"3.51.4"},"reference-count":8,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,14]]},"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>\n                  <jats:italic>Mycobacterium marinum<\/jats:italic> is a slow-growing, acid-fast bacillus in the category of non-tuberculous mycobacteria which most commonly cause skin and soft tissue infections in patients, particularly those with aquatic exposure. Classically, <jats:italic>M. marinum<\/jats:italic> skin and soft tissue infections clinically manifest with formation of nodular or sporotrichoid extremity lesions, or deeper space infections such as tenosynovitis and osteomyelitis. Disseminated disease may occur in immunocompromised hosts. <jats:italic>M. marinum<\/jats:italic> is a slow-growing organism that is challenging to culture, as it typically requires 5\u201314 days (yet may take up to several weeks) with low temperatures of approximately 30\u00b0C to yield growth. In terms of treatment, further data are needed to elucidate the optimal regimen and duration for <jats:italic>M. marinum<\/jats:italic> infections. Combination therapy with clarithromycin and ethambutol is recommended for treatment of skin and soft tissue infections, with addition of rifampicin for deeper space infections. Surgery may be needed in addition to medical management.<\/jats:p>","DOI":"10.1136\/bcr-2020-238835","type":"journal-article","created":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T23:30:35Z","timestamp":1607902235000},"page":"e238835","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Mycobacterium marinum<\/i>: nodular hand lesions after a fishing expedition"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7775-2444","authenticated-orcid":false,"given":"Jessica","family":"Tuan","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Spichler-Moffarah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onyema","family":"Ogbuagu","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,12,13]]},"reference":[{"key":"2025082707420938000_13.12.e238835.1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.39.9.3272-3278.2001"},{"key":"2025082707420938000_13.12.e238835.2","doi-asserted-by":"crossref","first-page":"889","DOI":"10.2340\/00015555-3230","article-title":"Skin and soft tissue infections caused by Mycobacterium chelonae: more common than expected?","volume":"99","author":"Uslu","year":"2019","journal-title":"Acta Derm Venereol"},{"key":"2025082707420938000_13.12.e238835.3","doi-asserted-by":"crossref","DOI":"10.3201\/2109.141634","article-title":"Mycobacterium abscessus Complex Infections in Humans","volume":"21","author":"Lee","year":"2015","journal-title":"Emerg Infect Dis"},{"key":"2025082707420938000_13.12.e238835.4","doi-asserted-by":"crossref","DOI":"10.1128\/microbiolspec.TNMI7-0038-2016","article-title":"Mycobacterium marinum","volume":"5","author":"Aubry","year":"2017","journal-title":"Microbiol Spectr"},{"key":"2025082707420938000_13.12.e238835.5","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.162.15.1746"},{"key":"2025082707420938000_13.12.e238835.6","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200604-571ST"},{"key":"2025082707420938000_13.12.e238835.7","doi-asserted-by":"crossref","first-page":"673","DOI":"10.3109\/23744235.2015.1040445","article-title":"Nontuberculous mycobacterial osteomyelitis","volume":"47","author":"Bi","year":"2015","journal-title":"Infect Dis"},{"key":"2025082707420938000_13.12.e238835.8","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-24702-7"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238835","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:42:18Z","timestamp":1756305738000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238835"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":8,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,13]]},"published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1136\/bcr-2020-238835"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238835","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12]]}}}