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A Fishy Story

Joseph P. Bailey, Jr, MD; S. Joan Stevens, MD; William M. Bell, MD; Henry G. Mealing, Jr, MD; Donald H. Loebl, MD; Elizabeth H. Cook, PhD

JAMA. 1982;247(9):1314.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

INFECTION of articular and paraarticular tissue by Mycobacterium marinum is reported infrequently. In a recent review of atypical mycobacterial joint infections,¹ only one was diagnosed and treated without surgery. Even in that case, drug therapy (aminosalicylic acid, isoniazid, and streptomycin sulfate) was considered "empirical" and probably not related to healing.² In our case, the diagnosis was made without surgical biopsy, and excellent response was obtained through drug therapy alone.

Report of a Case

A 55-year-old man, previously in good health, sustained a puncture wound over the palmar surface of the second digit of the right hand at the site of the metacarpophalangeal (MCP) joint from a fish fin (red snapper, saltwater fish, nonfrozen). The wound occurred during his work in a meat market and subsequently healed. One week after injury, swelling, erythema, and increased temperature developed on the dorsal surface of the second right MCP joint. Within another . . . [Full Text PDF of this Article]

Author Affiliations
From the Rheumatology Section, Department of Medicine, Medical College of Georgia, Augusta. Dr Stevens is now with the Department of Radiology, University of Michigan Hospital, Ann Arbor. Dr Bell is now in private practice in Kingsport, Tenn.

Footnotes
Reprint requests to the Rheumatology Section, Department of Medicine, Medical College of Georgia, Augusta, GA 30912 (Dr Bailey).

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