A mariner's tale: Invasive endotracheal Mycobacterium marinum infection

Peter T Bell; James Anderson; Christopher Coulter; Andrew Dettrick; Andrew Burke; Timothy Baird

doi:10.1002/rcr2.1211

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A mariner's tale: Invasive endotracheal Mycobacterium marinum infection

Journal article

Open access

Peer reviewed

A mariner's tale: Invasive endotracheal Mycobacterium marinum infection

Peter T Bell, James Anderson, Christopher Coulter, Andrew Dettrick, Andrew Burke and Timothy Baird

Respirology Case Reports, Vol.11, pp.1-5

2023

DOI: https://doi.org/10.1002/rcr2.1211

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Abstract

Pathology (excl. oral pathology)

mycobacterium marinum

bronchoscopy

non-tuberculous mycobacterium

pulmonary infection

trachea

Mycobacterium marinum is a ubiquitous water-borne non-tuberculous mycobacterial (NTM) pathogen. In humans, M. marinum infections are acquired through direct inoculation of skin wounds and are almost exclusively localized to skin and soft tissues. Pulmonary infection with M. marinum is extremely rare, and to our knowledge, invasive endobronchial disease has not been reported. Here, we present a case of a 71-year-old immunocompetent male surfer with invasive endotracheal M. marinum granulomatous disease. The patient was successfully cured with a regimen of azithromy-cin 250 mg daily, ethambutol 900 mg (15 mg/kg) daily and rifampicin 600 mg daily for 12 months following culture conversion. This case highlights several important concepts: Firstly, M. marinum infection, including invasive endobronchial infection, should be considered a rare cause of NTM pulmonary disease. Secondly, endotracheal infection can be successfully eradicated with this selected therapeutic regimen. Finally, the absence of M. marinum skin or soft-tissue infection in this patient, raises the possibility that human disease might also be acquired via inhalation of M. marinum contaminated water in rare circumstances.

Details

Title: A mariner's tale: Invasive endotracheal Mycobacterium marinum infection
Authors: Peter T Bell (Corresponding Author) - Sunshine Coast University Hospital
James Anderson (Author) - Sunshine Coast University Hospital
Christopher Coulter (Author) - Pathology Queensland
Andrew Dettrick (Author) - University of the Sunshine Coast
Andrew Burke (Author) - The University of Queensland
Timothy Baird (Corresponding Author) - Sunshine Coast University Hospital
Publication details: Respirology Case Reports, Vol.11, pp.1-5
Publisher: John Wiley & Sons Ltd.
Date published: 2023
DOI: 10.1002/rcr2.1211
ISSN: 2051-3380
Copyright note: © 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Organisation Unit: School of Health; Cancer Research Cluster; School of Science, Technology and Engineering
Language: English
Record Identifier: 99748997302621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Respiratory System

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