PDF(Pubmed)
Abstract：
Mycobacterium marinum is a ubiquitous and opportunist agent that may cause infections related to water activities in humans. It causes mainly skin and soft tissue infections, and other forms of presentation are uncommon. A 27-year-old man presented to the Emergency Department of a tertiary hospital due to a cervical foreign-body sensation that evolved into right cervical swelling and consumption symptoms. He was a waiter on a cruise in the Douro river. Weeks after the initial presentation, the diagnosis of Mycobacterium marinum infection was made by positive nucleic acid amplification tests (NAAT) in tissues obtained by excisional biopsy of cervical adenopathy. Treatment with rifampicin and clarithromycin was started. The symptoms improved, and there was a decrease in the adenopathy number and size. Although Mycobacterium marinum adenitis as initial presentation of the disease is rare, the identification of the agent by NAAT and favorable response to treatment supported the diagnosis.
摘要：
Marinum分枝杆菌是一种普遍存在的机会主义因子，可能会引起与人类水活动有关的感染。它主要引起皮肤和软组织感染，和其他形式的演示是不常见的。一名27岁的男子因宫颈异物感而出现在三级医院的急诊科，并演变成右宫颈肿胀和消耗症状。他是杜罗河游轮上的服务员。在初次演讲几周后，在宫颈腺病切除活检获得的组织中，通过核酸扩增试验（NAAT）阳性进行诊断。开始用利福平和克拉霉素治疗。症状好转,腺病的数量和大小有所减少。尽管作为该疾病的最初表现是罕见的，NAAT对药物的鉴定和对治疗的良好反应支持了诊断。
