Mycobacterium marinum infection causing septic arthritis and osteomyelitis.
A 48-yr-old female on immunosuppressive therapy for fibrosing alveolitis and polymyositis developed a septic arthritis of the left middle finger proximal interphalangeal joint, tenosynovitis of the left palm and osteomyelitis of the right hindfoot due to infection with Mycobacterium marinum. Such widespread and severe bone and joint involvement has not been described previously with this organism.
Barton
A
A
Department of Rheumatology, Manchester Royal Infirmary.
Bernstein
R M
RM
Struthers
J K
JK
O'Neill
T W
TW
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000187:drug effects / Q000382:microbiology*; D005534:Foot Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D019910:Mycobacterium marinum / Q000302:isolation & purification*; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D017285:Polymyositis / Q000188:drug therapy; D011658:Pulmonary Fibrosis / Q000188:drug therapy; D013717:Tenosynovitis / Q000000981:diagnostic imaging / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents; D004318:Doxycycline