A Case of Tenosynovitis Due to Mycobacterium intracellulare in a Patient with Rheumatoid Arthritis.
- Author:
Keun Woo PARK
1
;
Hyun Hee KWON
;
Seung Hie CHUNG
;
Kyung Chan KIM
;
Jung Yoon CHOE
;
Young Hwan LEE
Author Information
1. Department of Internal Medicine, Catholic niversity of Daegu, School of Medicine, Daegu, Korea. jychoe@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Tenosynovitis;
Nontuberculous mycobacterial infection;
Rheumatoid arthritis
- MeSH:
Adrenal Cortex Hormones;
Animals;
Arthritis, Rheumatoid*;
Causality;
Clarithromycin;
Ethambutol;
Humans;
Joint Diseases;
Joints;
Musculoskeletal System;
Mycobacterium avium Complex*;
Mycobacterium*;
Nontuberculous Mycobacteria;
Rifampin;
Risk Factors;
Soil;
Tenosynovitis*;
Wrist
- From:
Infection and Chemotherapy
2007;39(1):59-62
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nontuberculous mycobacteria are ubiquitous organisms that are frequently present in the water, soil and animal reservoirs. Nontuberculous mycobacterial infections of the musculoskeletal system are rare and usually associated with predisposing factors, such as prior joint disease, trauma, use of intraarticular or oral corticosteroids, or an immunocompromised state. A sixty five-year-old patient with rheumatoid arthritis was hospitalized due to swelling on the left wrist. M. intracellulare was cultured from the aspirated joint fluid. The patient was successfully treated with clarithromycin, ethambutol, and rifampin. We report this case with review, emphasizing high suspicion for nontuberculous mycobacterial infection in patients with predisposing risk factors.
