Mycobacterium intracellulare as a cause of a recurrent granulomatous tenosynovitis of the hand.
We report a case of recurrent granulomatous tenosynovitis with M. intracellulare in a 55-year-old HIV negative diabetic woman. Identification of the causative agent further than belonging to the M. avium-intracellulare complex is provided by specific PCR-amplification of genomic DNA and sequencing of an hypervariable region within its 16S RNA gene. Sixteen months antibiotic regimen of rifabutin and clarithromycin led to a complete resolution of the tenosynovitis.
Lefèvre
P
P
Department of Virology, Pasteur Institute, Brussels, Belgium.
Gilot
P
P
Godiscal
H
H
Content
J
J
Fauville-Dufaux
M
M
D005260:Female; D006099:Granuloma; D006225:Hand; D006801:Humans; D008875:Middle Aged; D015269:Mycobacterium avium Complex / Q000145:classification / Q000235:genetics; D012008:Recurrence; D013717:Tenosynovitis / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome