[Mycobacterium xenopi osteoarthritis of the ankle in a patient followed for psoriatic rheumatism].
BACKGROUND
Mycobacterium xenopi is an uncommon cause of osteoarticular sepsis. However, a recent series of M. xenopi spondylodiscitis emphasizes the potential risk after invasive procedures.


METHODS
A 33-year-old woman was followed for psoriasis rheumatoid arthritis. She had undergone several exploratory procedures including arthroscopy of the left ankle for invalidating joint disease. In 1999, M. xenopi arthritis and osteomyelitis was diagnosis in this joint.


CONCLUSIONS
Sterilization and maintenance of surgical instruments must abide by rigorously controlled strict protocols. The benefit/risk ratio of invasive procedures in debilitated joints should be more precisely evaluated. Specific and repeated sample cultures should be performed to search for mycobacteria in all bone and joint infections, particularly in case of prior invasive procedures.
Libbrecht
E
E
Service de Médecine interne et maladies infectieuses, Centre hospitalier de Troyes.
Bressieux
J M
JM
Chélius
P
P
Roger
M
M
Eloy
C
C
Rezzouk
L
L
Fur
A
A
D000328:Adult; D000843:Ankle Joint / Q000382:microbiology* / Q000601:surgery; D000900:Anti-Bacterial Agents; D015535:Arthritis, Psoriatic / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000601:surgery; D019912:Mycobacterium xenopi
D000900:Anti-Bacterial Agents