title: Achilles tendon infection due to Mycobacterium chelonae.
abstract: Atypical tuberculous tenosynovitis of the foot and ankle is extremely rare. The determination of the Mycobacterium species is essential because resistance of atypical mycobacterial strains to antituberculous drugs is often encountered. We report a case of Mycobacterium chelonae paratendinous and intratendinous infection involving the Achilles tendon. Repeat aggressive irrigation and debridement procedures, coupled with removal of foreign materials and the appropriate use of prolonged antibiotic therapy, can result in a successful long-term outcome.
authors: Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China. Electronic address: luithderek@yahoo.co.uk.
authors: Tun Hing
authors: TH
authors: Lui
authors: Associate Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
authors: Kwok Bill
authors: KB
authors: Chan
mesh_terms: D000125:Achilles Tendon / Q000382:microbiology* / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000628:therapy*; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D013524:Surgical Flaps; D052256:Tendinopathy / Q000382:microbiology* / Q000628:therapy*; D013717:Tenosynovitis / Q000382:microbiology / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Mycobacteriaciae; atypical tuberculous tenosynovitis; infection; tendoAchillis