Mycobacterium Avium Arthritis with Extra-articular Abscess in a Patient with Mixed Connective Tissue Disease.
- Author:
Choong Won LEE
1
;
Han Dong SUNG
;
Byong Moon CHOI
;
Chun Wook KIM
;
Su Jin JUN
;
Sang Jo MIN
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. choong@wmbh.co.kr
- Publication Type:Case Report
- Keywords:
Mycobacterium avium;
Arthritis;
Abscess;
Mixed connective tissue disease
- MeSH:
Adult;
Antitubercular Agents/therapeutic use;
Arthritis, Infectious/*microbiology/therapy;
Female;
Human;
Knee Joint/*microbiology/surgery;
Mixed Connective Tissue Disease/*complications;
Mycobacterium avium/drug effects/*isolation & purification;
Mycobacterium avium-intracellulare Infection/*complications/therapy
- From:The Korean Journal of Internal Medicine
2003;18(2):119-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
A case of Mycobacterium avium arthritis in a 39-year-old female patient with mixed connective tissue disease (MCTD) was reported. An extra-articular abscess had formed outside the knee joint and extended down the calf. A culture was taken of the abscess and synovial fluid disclosed Mycobacteriun avium. This was resistant to most anti-tuberculosis agents. A combination of anti-tuberculosis drugs followed a total resection of the abscess. We concluded that M avium septic arthritis could insidiously develop into an extra-articular abscess. A combination of anti-tuberculosis drugs with a total resection of the abscess was an effective treatment.