[Mycobacterium marinum tenosynovitis of the abductors].
BACKGROUND
Infection with Mycobacterium marinum is rare and usually produces cutaneous lesions. We report here two cases of tenosynovitis of abductor muscles.


METHODS
The first case presented isolated involvement of the abductors of the left thumb, and the second the abductors of the middle finger. In both cases, the bacteriological examinations found M. marinum. Antibiotic therapy for three months with rifampin and clarithromycin cured the infection.


CONCLUSIONS
These cases of tenosynovitis followed deep inoculation. A mycobacterial infection should be considered in cases of synovitis, especially when limited to an area of the hand in patients without other rheumatic disorders.
Contios
S
S
Service d'orthopédie-traumatologie, CHU, Brest. sebastien.contios@chu-brest.fr
Roguedas
A M
AM
Genestet
M
M
Volant
A
A
Le Nen
D
D
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000904:Antibiotics, Antitubercular / Q000008:administration & dosage / Q000627:therapeutic use; D017291:Clarithromycin / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D019910:Mycobacterium marinum / Q000302:isolation & purification; D012293:Rifampin / Q000008:administration & dosage / Q000627:therapeutic use; D013717:Tenosynovitis / Q000209:etiology* / Q000382:microbiology; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000904:Antibiotics, Antitubercular; D017291:Clarithromycin; D012293:Rifampin