Flexor tenosynovitis in the hand caused by Mycobacterium malmoense: a case report.
This report analyzes a rare case of flexor tenosynovitis caused by Mycobacterium malmoense. A synovectomy was carried out on the index finger (no other finger was afflicted) of a 66-year-old farmer, followed by antibiotic therapy with ethambutol, rifampin, and clarithromycin. Because of strong side effects, the treatment with ethambutol and rifampicin had to be discontinued after 4 months. There was no recurrence after 14 months, and the patient's finger had a full range of motion.
Gabl
M
M
University Hospital of Traumatology, Innsbruck, Austria.
Pechlaner
S
S
Hausdorfer
H
H
Kreczy
A
A
Went
P
P
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000904:Antibiotics, Antitubercular / Q000009:adverse effects / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000009:adverse effects / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D004977:Ethambutol / Q000009:adverse effects / Q000627:therapeutic use; D005385:Fingers / Q000382:microbiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D009170:Nontuberculous Mycobacteria / Q000145:classification; D012293:Rifampin / Q000009:adverse effects / Q000627:therapeutic use; D000074402:Synovectomy; D013717:Tenosynovitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery
D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular; D000995:Antitubercular Agents; D004977:Ethambutol; D017291:Clarithromycin; D012293:Rifampin