Mycobacterium marinum osteomyelitis of the first metatarsal

Mycobacterium marinum (MM) infections secondary to injuries occurring in the aquatic environment have been widely described in literature, especially in immunosuppressed patients. The most frequent locations are the hands and forearms in patients exposed to water. The infection usually presents as a...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2012-11, Vol.22 (Suppl 1), p.225-228
Main Authors: López Zabala, Ibon, Poggio Cano, Daniel, García-Elvira, Rubén, Asunción Márquez, Jordi
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Surgical Orthopedics
Traumatic Surgery
Up-to date Review and Case Report
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Summary:Mycobacterium marinum (MM) infections secondary to injuries occurring in the aquatic environment have been widely described in literature, especially in immunosuppressed patients. The most frequent locations are the hands and forearms in patients exposed to water. The infection usually presents as a granuloma affecting superficial structures. However, due to the difficulty of diagnosis and the chronic course of the condition, deeper structures may eventually become affected. Late presentation of deep-seated infections in bones in the foot is exceptional. We report a case of osteomyelitis of the first metatarsal bone caused by MM after accidental puncture injury by a sea urchin requiring surgical treatment in a not immunosuppressed patient.
ISSN:1633-8065
1432-1068
DOI:10.1007/s00590-011-0909-4