Avoid Interacting with Aggressive Wild Iguanas Over Temptations of Sweets

Avoid Interacting with Aggressive Wild Iguanas Over Temptations of Sweets

A recent case report by doctors at Stanford University has shed light on an unusual clinical occurrence - a 3-year-old girl contracting a Mycobacterium marinum infection from an iguana bite during a vacation in Costa Rica.

• Source of Infection:Mycobacterium marinum is a type of bacteria commonly found in marine and freshwater environments, including fish tanks and marine animals. While infections typically arise from exposure to fish or contaminated water, transmission through an iguana bite is extremely rare.

The girl's vacation took a turn for the worse when she was bitten by a wild iguana while eating cake on the beach. Despite initial local treatment, including disinfecting her hand and antibiotics for Salmonella bacteria, the infection grew bigger and more painful over time.

• Clinical Presentation: The girl developed a localized skin and soft tissue infection following the iguana bite. Her symptoms included chronic, non-healing wounds, nodules, or ulcers at the site of injury.
• Diagnosis: The doctors confirmed that the girl had been infected by M. marinum. Diagnosis in such cases involves microbiological culture, biopsy, and sometimes PCR to identify M. marinum, as it grows slowly and requires specialized media and cooler temperatures.
• Treatment: The girl's symptoms and infection cleared up after she was prescribed combination antibiotic therapy, including clarithromycin, rifampin, and ethambutol. Surgical intervention was also required to remove a nearly 1-inch mass of pus from her hand.

This case underscores the importance of considering M. marinum in atypical skin infections following reptile bites or aquatic exposure, expanding the spectrum of sources beyond the more commonly associated fish tank exposure.

• Significance: This is the first known case of M. marinum being transmitted via iguana bite. The case serves as a reminder that there are many potentially dangerous germs in unexpected places. It highlights the need for continued research and awareness about the diverse sources of aquatic bacteria and the risks associated with close contact with wildlife.

If you want more specific details or discussion points from the Stanford case report, I can help summarize them, though I don’t have direct access to the full text.

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