“…14,16,18 Similarly, cutaneous mycobacterial infections 9,10,[12][13][14]16 (particularly from atypical species, including Mycobacterium marinum 14,16 ) could be included in the differential diagnosis of skin infections after pinniped contact, but we are not aware of a clear case in a human after a pinniped bite. Although in large studies Clostridium tetani has not been isolated from pinnipeds, [46][47][48][49] given the ubiquitous nature of this organism, including its presence in marine sediment, 53 vaccination against tetanus is warranted.…”