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Journal of Hand Surgery (British and European Volume)
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Antimicrobial Treatment of Fish Tank Granuloma

R. B. S. LAING
P. J. FLEGG
B. WATT
C. L. S. LEEN

From the Regional Infectious Diseases Unit and the Scottish Mycobacterial Reference Laboratory, City Hospital, Edinburgh, UK

Correspondence: Dr R. B. S. Laing, The Infection Unit, Aberdeen Royal Infirmary, Aberdeen AB9 2ZB, UK.

Three patients with fish tank granuloma of the hand and forearm are reported. Each patient was treated with antimicrobial regimes which have rarely or never been previously used in this condition. Two patients responded well to treatment, one who received ciprofloxacin plus clarithromycin and another who was given clarithromycin plus ethambutol. The third patient received six different antimicrobial regimes before responding to a combination of rifabutin and ciprofloxacin.

Our experience suggests that there now exist a number of effective alternatives to antimicrobials which have been traditionally used in the treatment of cutaneous Mycobacterium marinum infection.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 1, 135-137 (1997)
DOI: 10.1016/S0266-7681(97)80042-3
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