Mycobacterium avium arthritis with extra-articular abscess in a patient with mixed connective tissue disease.
A case of Mycobacterium avium arthritis in a 39-year-old female patient with mixed connective tissue disease (MCTD) was reported. An extra-articular abscess had formed outside the knee joint and extended down the calf. A culture was taken of the abscess and synovial fluid disclosed Mycobacterium avium. This was resistant to most anti-tuberculosis agents. A combination of anti-tuberculosis drugs followed a total resection of the abscess. We concluded that M avium septic arthritis could insidiously develop into an extra-articular abscess. A combination of anti-tuberculosis drugs with a total resection of the abscess was an effective treatment.
Lee
Choong Won
CW
Division of Rheumatology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, 374-75 Namsan-Dong, Gumjung-Gu, Busan, 609-340 Korea. choong@wmbh.co.kr
Sung
Han Dong
HD
Choi
Byong Moon
BM
Kim
Chun Wook
CW
Jun
Su Jin
SJ
Min
Sang Jo
SJ
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000382:microbiology* / Q000601:surgery; D008947:Mixed Connective Tissue Disease / Q000150:complications*; D009162:Mycobacterium avium / Q000187:drug effects / Q000302:isolation & purification*; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications* / Q000628:therapy
D000995:Antitubercular Agents