DOI: 10.12890/2021_002864

A Case of Hypercalcemia in an Immunocompetent Patient with Disseminated Mycobacterium marinum Infection with a Rain Barrel as the Most Likely Primary Source

Authors

  • Wendy Uijtendaal Department of Internal Medicine, Ziekenhuisgroep Twente, Almelo, The Netherlands
  • Rima Yohanna Department of Rheumatology, Ziekenhuisgroep Twente, Almelo, The Netherlands
  • Folkert Visser Department of Internal Medicine, Ziekenhuisgroep Twente, Almelo, The Netherlands
  • Paul Ossenkoppele Department of Dermatology, Ziekenhuisgroep Twente, Almelo, The Netherland
  • Dorine Hess Department of Microbiology, Ziekenhuisgroep Twente, Almelo, The Netherlands
  • Dennis Boumans Department of Rheumatology, Ziekenhuisgroep Twente, Almelo, The Netherlands

wendy.uijtendaal@gmail.com

Keywords

Mycobacterium marinum, hypercalcemia, immunocompetent, polyarthritis, Polyarteritis nodosa

Abstract

Infection with Mycobacterium marinum is common in fish, and so human infection usually arises from contact with contaminated water or fish. A solitary papulonodular lesion on a finger or hand is the typical presentation. Disseminated infections are rare and mostly seen in immunocompromised patients.

We present a rare case of disseminated M. marinum infection presenting with polyarthritis, tenosynovitis, dactylitis, and (sub)cutaneous and intramuscular lesions in an immunocompetent patient. This case was complicated by hypercalcemia, renal failure and eventually death. A contaminated rain barrel was most likely the primary source of the infection.

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References

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Published

2021-11-18

Issue

Vol. 8 No. 11 (2021)

How to Cite

1.
Uijtendaal W, Yohanna R, Visser F, Ossenkoppele P, Hess D, Boumans D. A Case of Hypercalcemia in an Immunocompetent Patient with Disseminated Mycobacterium marinum Infection with a Rain Barrel as the Most Likely Primary Source. EJCRIM [Internet]. 2021 Nov. 18 [cited 2026 Nov. 3];8(11). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2864