You might include a section on "Mycobacterium marinum infections."
In Feb. 2014 I sailed from Panama to the Galapagos Islands. I was crewing on a Kurt Hughes 65' Cat
. and about 5 miles off our entry Port the Captain
decides that we should clean the hulls. So in the water
we go with our scrapers and pads and begin the job which took about two hours. There is nothing to hold on to so we had to drift with the boat and occasionally I would have my knees dragging along the hull
. Anyway we got the job done and went into port and later when we cleared in they did take a look to make sure we had a clean hull
, It's a big deal down there in the Islands.
Later in the evening when I was showering (bucket of water
over my head) I noticed I had two scratches on my right knee and two on my left arm. No big deal; I'm a big tough sailor. Well, about a week later the little scratches had little blisters
on them, so I backed off a little and put some medicine on them. They kept getting worse and after three weeks sailing around the islands we were ready to jump off to the Marquesas
but I had a close friend die in the States and had to leave and that's another story.
Anyway, I got back to the States and the little scratches now had turned into bigger sores that wouldn't heal. Actually the ones on my arm did heal some and looked better but the knee was worse. I'm a veteran so went to the VA hospital. They looked at it and said, "hey that's looks pretty bad." Gave me some antibiotics to take and bandaged it up, this was about a month after it happened. I stayed in the States for another month and it didn't get any better and they gave me more antibiotics.
I live in Taiwan
so it was time to go home from my sailing adventure. When I got home I went to the doctor and they said, " hey that looks pretty bad" in Chinese of course and gave me more antibiotics.
OK, to make a long story shorter....I took antibiotics and went to 5 different doctors for 8 months and telling them the same story before I found one who told me that I have an Mycobacterium marinum infections. Which the doc could only tell me after he took a sample and sent it to a lab. They doubled up on the antibiotics and my stomach was getting all chewed up because of it. I finally said enough as the two sores on my knee
were an inch long, gaping and bloody. I went to the hospital and over a two month period they surgically removed all the infected skin, meat, etc. and sewed it up. They had to do one at a time because they were so close together.
Lots of people and doctors are not familiar with this infection so I would suggest at the minimum you put info about it where people could protect themselves from getting it in the first place. In other words be careful around seawater with barnacles
and such. By the way the boat originally came from South Florida
where I found out later that breeds this kind of infection. A common name for this is "Fish Tank Infection"
Sorry, I didn't mean to write a book.