[Osteoarticular Mycobacterium xenopi infection].
BACKGROUND
Mycobacterium xenopi is a potential pathogen for man and can cause bone and joint infections, particularly spondylodiscitis. Most cases of infection occur in fragilized patients and are found more and more often in AIDS patients.


METHODS
A 41-year-old HIV+ woman developed cervical spondylodiscitis due to Mycobacterium xenopi infection. The strain was isolated from a discovertebral biopsy and was resistant to several antibiotics. Outcome was unfavorable.


CONCLUSIONS
Most of the cases reported to date have involved spondylodiscitis of the thoracic or lumbar spine. To our knowledge, this is the first report of cervical spondylodiscitis dut to Mycobacterium xenopi in an HIV+ patient. Antibiotic combinations using fluoroquinolones and new macrolides are usually prescribed. Such protocols may provide cure of these opportunistic infections in immunodeficient patients.
Service de Rhumatologie, Hôpital de Bellevue, CHU de Saint-Etienne.
E
E
Ollagnier
A
A
Frésard
C
C
Guglielminotti
A
A
Carricajo
J F
JF
Mosnier
C
C
Alexandre
F
F
Lucht
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D001706:Biopsy; D002574:Cervical Vertebrae / Q000382:microbiology*; D015299:Discitis / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006679:HIV Seropositivity; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis*; D019912:Mycobacterium xenopi / Q000187:drug effects; D018088:Tuberculosis, Multidrug-Resistant / Q000188:drug therapy; D014399:Tuberculosis, Spinal / Q000382:microbiology*
D000904:Antibiotics, Antitubercular
Infection ostéo-articulaire à Mycobacterium xenopi.