A Case of Sepsis by Mycobacterium abscessus in a Patient with Rheumatoid Arthritis.
- Author:
Won MOON
1
;
Hye Ryeon YUN
;
Jung Mi KIM
;
Joong Ho BAE
;
Jae Bum JUN
;
Tae Yul CHOI
;
Hyunjoo PAI
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. paihj@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Mycobacterium abscessus;
Rheumatoid arthritis;
Sepsis
- MeSH:
Aged;
Arthritis, Infectious;
Arthritis, Rheumatoid*;
Cellulitis;
Clarithromycin;
Debridement;
Female;
Foot;
Hand;
Humans;
Lower Extremity;
Mycobacterium*;
Nontuberculous Mycobacteria;
Osteomyelitis;
Sepsis*;
Skin;
Soft Tissue Infections;
Suppuration;
Synovial Fluid
- From:
Infection and Chemotherapy
2005;37(3):171-175
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mycobacterium abscessus is a rapid growing pathogenic nontuberculous mycobacterium, which causes systemic disseminated infections as well as localized infections such as skin and soft tissue infections. We experienced a case of M. abscessus sepsis secondary to septic arthritis, osteomyelitis, and cellulitis in a rheumatoid arthritis patient. A 68-year old female with rheumatoid arthritis developed skin and soft tissue infections in upper and lower extremities. Acid fast bacilli were identified from the pus smear of hand. While receiving anti-tuberculosis medication, M. abscessus was identified in blood culture, pus from hand, synovial fluid of foot, and urine. With surgical debridement and medications containing clarithromycin, her condition gradually improved and was discharged.
