Mycobacterium intracellulare infection of the shoulder and spine in a patient with steroid-treated systemic lupus erythematosus.
Atypical mycobacterial infections of bone are rare. A patient with systemic lupus erythematosus treated with steroids developed an M. intracellulare infection of the shoulder and spine. These infections are insidious and diagnosis is difficult. Marked involvement of one joint, large effusion, or aspirated small synovial fragments suggest an atypical tuberculous joint infection.
D000328:Adult; D001847:Bone Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging* / Q000473:pathology; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009164:Mycobacterium Infections / Q000000981:diagnostic imaging*; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012782:Shoulder; D013131:Spine / Q000000981:diagnostic imaging* / Q000473:pathology; D013256:Steroids / Q000627:therapeutic use
D013256:Steroids