바로가기메뉴

본문 바로가기 주메뉴 바로가기

Tuberculosis & Respiratory Diseases

Article Contents

Prev Next
e-Submission

Vol.72 No.2
Citation Share

A Case of Chronic Arthritis Due to Mycobacterium intracellulare after Trauma

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2012, v.72 no.2, pp.191-196









& (2012). A Case of Chronic Arthritis Due to Mycobacterium intracellulare after Trauma. Tuberculosis & Respiratory Diseases, 72(2), 191-196.
  • Downloaded
  • Viewed
PDF Download

Abstract

While nontuberculous mycobacterium (NTM) infections are recently on the rise, arthritis caused by NTM is hardly reported in Korea. NTM arthritis has no distinctive clinical characteristics from chronic arthritis. Tuberculosis of the joint specifically produces similar clinical and pathologic presentations to NTM arthritis, so it is not easy to distinguish between them. We report a case of Mycobacterium intracellulare in an arthritis patient after trauma and surgical repair of the injury. At the beginning, the patient was diagnosed as tuberculous tenosynovitis through pathology without microbiologic evidence. The final diagnosis was made after subsequent recurrences for several years. The misdiagnosis and delayed diagnosis led to irreversible joint destruction and functional impairment. NTM infection must be included in the differential diagnosis of chronic arthritis at the outset.

keywords
Arthritis, Mycobacterium avium-intracellulare Infection, Wounds and Injuries

Reference

1.

1. Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F, et al. An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med 2007;175:367-416.

2.

2. Zenone T, Boibieux A, Tigaud S, Fredenucci JF, Vincent V, Chidiac C, et al. Non-tuberculous mycobacterial tenosynovitis: a review. Scand J Infect Dis 1999;31:221-8.

3.

3. Kang GH, Kim SH, Lee HY, Seo HW, Song EH, Lee KW, et al. A case of arthritis due to mycobacterium intracellulare in a immunocompetent patient. J Rheum Dis 2011;18:122-4.

4.

4. Satyanarayana G, Heysell SK, Scully KW, Houpt ER. Mycobacterial infections in a large Virginia hospital, 2001-2009. BMC Infect Dis 2011;11:113.

5.

5. Lee JY, Choi HJ, Lee H, Joung EY, Huh JW, Oh YM, et al. Recovery rate and characteristics of nontuberculous mycobacterial isolates in a university hospital in Korea. Tuberc Respir Dis 2005;58:385-91.

6.

6. Jones AR, Bartlett J, McCormack JG. Mycobacterium avium complex (MAC) osteomyelitis and septic arthritis in an immunocompetent host. J Infect 1995;30:59-62.

7.

7. Park KW, Kwon HH, Chung SH, Kim KC, Choe JY, Lee YH. A case of tenosynovitis due to mycobacterium intracellulare in a patient with rheumatoid arthritis. Infect Chemother 2007;39:59-62.

8.

8. Kim HO, Bae IG, Heo ST, Na JB, Kim JH, Kang MG, et al. A case of polyarthritis caused by mycobacterium marinum infection mistaken for rheumatoid arthritis. J Korean Rheum Assoc 2010;17:205-10.

9.

9. Kwon YH, Lee GY, Kim WS, Kim KJ. A case of skin and soft tissue infection caused by mycobacterium abscessus. Ann Dermatol 2009;21:84-7.

10.

10. Tortoli E. Clinical manifestations of nontuberculous mycobacteria infections. Clin Microbiol Infect 2009;15:906- 10.

11.

11. Aboudola S, Sienko A, Carey RB, Johnson S. Tuberculous tenosynovitis. Hum Pathol 2004;35:1044-6.

12.

12. Torralba KD, Quismorio FP Jr. Soft tissue infections. Rheum Dis Clin North Am 2009;35:45-62.

13.

13. Chung PH, Kang S, Kim JP, Lee SH. Carpal tunnel syndrome secondary to tuberculous tenosynovitis: a case report. J Korean Orthop Assoc 2002;37:806-9.

14.

14. Phillips MS, von Reyn CF. Nosocomial infections due to nontuberculous mycobacteria. Clin Infect Dis 2001; 33:1363-74.

15.

15. Anim-Appiah D, Bono B, Fleegler E, Roach N, Samuel R, Myers AR. Mycobacterium avium complex tenosynovitis of the wrist and hand. Arthritis Rheum 2004;51: 140-2.

Tuberculosis & Respiratory Diseases

e-Submission OA Policy