A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa
Disseminated infection due to Mycobacterium marinum is rare but has been described in immunosuppressed and transplant recipients. We describe a case of multifocal osteoarticular involvement by this pathogen in a patient with anorexia nervosa. Serial surgical debridements and a prolonged course of a...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/963138 |
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| author | Katie Sharff Zaw Min Nitin Bhanot |
| author_facet | Katie Sharff Zaw Min Nitin Bhanot |
| author_sort | Katie Sharff |
| collection | DOAJ |
| description | Disseminated infection due to Mycobacterium marinum is rare but has been described in immunosuppressed and transplant recipients. We describe a case of multifocal osteoarticular involvement by this pathogen in a patient with anorexia nervosa. Serial surgical debridements and a prolonged course of antimicrobial therapy including intravenous amikacin, imipenem, and oral ethambutol and azithromycin were needed to treat the infection. Cell mediated immune deficits related to the patient’s anorexia nervosa predisposed her to a severe infection with M. marinum. Aggressive surgical intervention in conjunction with multiple antimicrobial agents helped cure the infection. |
| format | Article |
| id | doaj-art-add175c7d371490c991f5b31594db2a5 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-add175c7d371490c991f5b31594db2a52025-02-03T05:58:38ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/963138963138A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia NervosaKatie Sharff0Zaw Min1Nitin Bhanot2Kaiser Permanente Infectious Disease Department, 9900 SE Sunnyside Road, Clackamas, OR 97015-977, USADivision of Infectious Disease, Department of Medicine, Allegheny General Hospital, Allegheny Health Network, 420 East North Avenue, Pittsburgh, PA 15212, USADivision of Infectious Disease, Department of Medicine, Allegheny General Hospital, Allegheny Health Network, 420 East North Avenue, Pittsburgh, PA 15212, USADisseminated infection due to Mycobacterium marinum is rare but has been described in immunosuppressed and transplant recipients. We describe a case of multifocal osteoarticular involvement by this pathogen in a patient with anorexia nervosa. Serial surgical debridements and a prolonged course of antimicrobial therapy including intravenous amikacin, imipenem, and oral ethambutol and azithromycin were needed to treat the infection. Cell mediated immune deficits related to the patient’s anorexia nervosa predisposed her to a severe infection with M. marinum. Aggressive surgical intervention in conjunction with multiple antimicrobial agents helped cure the infection.http://dx.doi.org/10.1155/2015/963138 |
| spellingShingle | Katie Sharff Zaw Min Nitin Bhanot A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa Case Reports in Orthopedics |
| title | A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa |
| title_full | A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa |
| title_fullStr | A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa |
| title_full_unstemmed | A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa |
| title_short | A Challenging Case of Multifocal Mycobacterium marinum Osteoarticular Infection in a Patient with Anorexia Nervosa |
| title_sort | challenging case of multifocal mycobacterium marinum osteoarticular infection in a patient with anorexia nervosa |
| url | http://dx.doi.org/10.1155/2015/963138 |
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