Abstract
Fish pedicure has become a popular cosmetic procedure involving immersion of the feet in a tank with freshwater fish (Garra rufa) that nibble off dead skin. There are concerns about the potential transmission of pathogens, but no cases of infections after this procedure have been published so far. We present a patient who developed foot infection with methicillin-resistant Staphylococcus aureus (MRSA) after fish pedicure.
References
Health Protection Agency, Fish Spa Working Group. Guidance on the management of the public health risks from fish pedicure. V1, 31 August 2011. http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317131045549. Accessed 20 Dec 2012.
Grassberger M, Hoch W. Ichthyotherapy as alternative treatment for patients with psoriasis: a pilot study. Evid Based Complement Alternat Med. 2006;3:483–8. doi:10.1093/ecam/nel033.
Verner-Jeffreys DW, Welch TJ, Schwarz T, Pond MJ, Woodward MJ, Haig SJ, et al. High prevalence of multidrug-tolerant bacteria and associated antimicrobial resistance genes isolated from ornamental fish and their carriage water. PLoS One. 2009;4:e8388. doi:10.1371/journal.pone.0008388.
Verner-Jeffreys DW, Baker-Austin C, Pond MJ, Rimmer GS, Kerr R, Stone D, et al. Zoonotic disease pathogens in fish used for pedicure. Emerg Infect Dis. 2012;18:1006–8. doi:10.3201/eid1806.111782.
Plano LR, Garza AC, Shibata T, Elmir SM, Kish J, Sinigalliano CD, et al. Shedding of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus from adult and pediatric bathers in marine waters. BMC Microbiol. 2011;11:5. doi:10.1186/1471-2180-11-5.
Fenner L, Widmer AF, Dangel M, Frei R. Distribution of spa types among meticillin-resistant Staphylococcus aureus isolates during a 6 year period at a low-prevalence University Hospital. J Med Microbiol. 2008;57:612–6. doi:10.1099/jmm.0.47757-0.
Harmsen D, Claus H, Witte W, Rothgänger J, Claus H, Turnwald D, et al. Typing of methicillin-resistant Staphylococcus aureus in a university hospital setting by using novel software for spa repeat determination and database management. J Clin Microbiol. 2003;41:5442–8.
Björnsdóttir S, Gottfredsson M, Thórisdóttir AS, Gunnarsson GB, Ríkardsdóttir H, Kristjánsson M, et al. Risk factors for acute cellulitis of the lower limb: a prospective case–control study. Clin Infect Dis. 2005;41:1416–22. doi:10.1086/497127.
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Sugimoto, K., Frei, R. & Graber, P. Methicillin-resistant Staphylococcus aureus foot infection after fish pedicure. Infection 41, 1013–1015 (2013). https://doi.org/10.1007/s15010-013-0437-8
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DOI: https://doi.org/10.1007/s15010-013-0437-8