Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
Autoři:
Abdolmajid Fata aff001; Amin Bojdy aff003; Masoud Maleki aff004; Bibi Razieh Hosseini Farash aff001; Kiarash Ghazvini aff005; Parastoo Tajzadeh aff006; Vida Vakili aff007; Elham Moghaddas aff002; Pietro Mastroeni aff008; Shadi Rahmani aff002
Působiště autorů:
Cutaneous leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff001; Department of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff002; Department of Infectious Diseases, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff003; Department of Dermatology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff004; Department of Microbiology, Quem Hospital, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff005; Department of Medical Lab Sciences, Faculty of nursing, Kashmar, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff006; Department of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Khorasan-e-Razavi, Iran
aff007; Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom
aff008
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0221367
Souhrn
Objective
Mycobacterium marinum causes a rare cutaneous disease known as fish tank granuloma (FTG). The disease manifestations resemble those associated with Cutaneous Leishmaniasis (CL). The aim of this study was to determine whether FTG was the cause of cutaneous lesions in patients who were referred to the Parasitology laboratory of Imam Reza Hospital in Mashhad to be investigated for CL.
Materials/Methods
One hundered patients, clinically diagnosed with CL between April 2014 and March 2015, were included in this study. Ziehl-Neelsen staining was performed to identify acid-fast Mycobacterium in addition to bacterial cultures using Löwenstein-Jensen medium. Skin lesion samples were also collected and kept on DNA banking cards for PCR testing.
Results
Twenty-nine of the 100 individuals with skin lesions, and therefore suspected of suffering from CL, tested positive for Mycobacterium marinum by PCR. Of these, 21 (72.4%) were male and 8(27.6%) were female. In 97% of these cases the lesions were located on hands and fingers. These patients had a history of manipulating fish and had been in contact with aquarium water. A sporotrichoid appearance was observed in 58.6% of the patients with mycobacterial lesions; 67% of patients had multiple head appearance.
Conclusion
Patients suspected to have CL and who test negative for CL could be affected by FTG. Therefore, after obtaining an accurate case history, molecular diagnosis is recommended for cases that give a negative result by conventional methods.
Klíčová slova:
Medicine and health sciences – Diagnostic medicine – Signs and symptoms – Lesions – Pathology and laboratory medicine – Pathogens – Arms – Tropical diseases – Neglected tropical diseases – Leishmaniasis – Parasitic diseases – Protozoan infections – Infectious diseases – Zoonoses – Biology and life sciences – Organisms – Bacteria – Actinobacteria – Mycobacteria – Eukaryota – Protozoans – Parasitic protozoans – Leishmania – Microbiology – Medical microbiology – Microbial pathogens – Bacterial pathogens – Molecular biology – Molecular biology techniques – Artificial gene amplification and extension – Polymerase chain reaction – Anatomy – Musculoskeletal system – Body limbs – Fingers – Research and analysis methods – Extraction techniques – DNA extraction
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