Mycobacterium:
Organisms in the genus Mycobacterium are nonmotile, acid-fast rods. Two
species, M. fortuitum and M. marinum, are recognized as pathogens of tropical
fish. Humans are typically
infected by contamination of lacerated or abraded skin with aquarium water or
fish contact. A localized granulomatous nodule may form at the site of
infection, most commonly on hands or fingers. The granulomas usually appear
approximately 6-8 weeks after exposure to the organism. They initially appear
as reddish bumps (papules) that slowly enlarge into purplish nodules. The
infection can spread to nearby lymph nodes. More disseminated forms of the
disease are likely in immunocompromised individuals. It is possible for these
species of mycobacterium to cause some degree of positive reaction to the
tuberculin skin test.
Aeromonas
spp :Aeromonad organisms are facultative anaerobic, gram-negative rods.
These organisms can produce septicemia in infected fish. The species most
commonly isolated is A. hydrophilia. It is found world wide in tropical fresh
water and is considered part of the normal intestinal microflora of healthy
fish. Humans infected with Aeromonas may show a variety of clinical signs, but
the two most common syndromes are gastroenteritis and localized wound infections.
Again, infections are more common and serious in the immunocompromised
individual.
Other
Bacteria and Protozoa: additional
zoonotic organisms that have been documented in fish or aquarium water. Human
infections are typically acquired through ingestion of contaminated water
resulting in gastroenteritis symptoms or from wound contamination.
Gram-negative
Organisms: Plesiomonas shigelloides, Pseudomonas fluorescens, Escherichia
coli, Salmonella spp., Klebsiella spp., Edwardsiella tarda
Gram-positive
Organisms: Streptococcus, Staphylcocccus, Clostridium, Erysipelothrix,
Nocardia
Protozoa:
Cryptosporidium