Septic monoarthritis of the first carpo-metacarpal joint caused by Mycobacterium kansasii.
A case of septic carpal monoarthritis due to Mycobacterium kansasii developing 16 months after accidental inoculation in a healthy laboratory technician is reported. No predisposing factor such as immunosuppression, preexisting degenerative, inflammatory arthritis or cortisone injection was present. Treatment with antituberculous oral medication alone resulted in resolution of the disease. Synovectomy was unnecessary. Ten years after the initial causative event, the patient remains free of symptoms.
Brutus
J P
JP
Department of plastic and reconstructive surgery, Erasme hospital, Université Libre de Bruxelles, Belgium. jpbrutus@hotmail.com
Lamraski
G
G
Zirak
C
C
Hauzeur
J P
JP
Thys
J P
JP
Schuind
F
F
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D017056:Medical Laboratory Personnel; D008663:Metacarpus / Q000473:pathology; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D019909:Mycobacterium kansasii / Q000472:pathogenicity*; D016602:Needlestick Injuries; D010003:Osteoarthritis / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D016896:Treatment Outcome
D000995:Antitubercular Agents