A Case of Polyarthritis Caused by Mycobacterium Marinum Infection Mistaken for Rheumatoid Arthritis.
10.4078/jkra.2010.17.2.205
- Author:
Hyun Ok KIM
1
;
In Gyu BAE
;
Sang Taek HEO
;
Jae Boem NA
;
Jae Hee KIM
;
Min Gyu KANG
;
Dae Hong JEON
;
Na Young KIM
;
Sang Il LEE
Author Information
1. Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea. goldgu@gnu.ac.kr
- Publication Type:Case Report
- Keywords:
Mycobacterium marinum;
Arthritis
- MeSH:
Arthritis;
Arthritis, Rheumatoid;
Early Diagnosis;
Edema;
Immunocompromised Host;
Mycobacterium;
Mycobacterium Infections, Nontuberculous;
Mycobacterium marinum;
Osteomyelitis;
Synovitis
- From:The Journal of the Korean Rheumatism Association
2010;17(2):205-210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mycobacterium marinum (M. marinum) is a nontuberculosis mycobacterium that is normally associated with cutaneous lesions. Most cases occur after an individual has suffered minor trauma in association with contaminated fresh or salt water. In immunocompromised patients, M. marinum can cause osteomyelitis, synovitis and/or disseminated infection, which can be mistaken for rheumatoid arthritis (RA) or remitting seronegative symmetrical synovitis with pitting edema (RS3PE). Therefore, precise history taking and specimen culture are very important for early diagnosis and appropriate treatment. We report an unusual case of septic polyarthritis due to M. marinum that was diagnosed by culture and improved with antibiotic therapy.
