Mycobacterium arupense flexor tenosynovitis: case report and review of antimicrobial susceptibility profiles for 40 clinical isolates.
We describe a case of chronic tenosynovitis in the hand of a 58-year-old cattle farmer. Surgical biopsy specimens grew Mycobacterium arupense. The patient responded to surgery and antimicrobial therapy based on in vitro susceptibility testing. The antimicrobial susceptibility profiles of the isolate from this patient and 39 additional clinical isolates are presented.
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Elena
E
Beam
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Shawn
S
Vasoo
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Patricia J
PJ
Simner
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Marco
M
Rizzo
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Erin L
EL
Mason
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Randall C
RC
Walker
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Sharon M
SM
Deml
Department of Microbiology, Mycobacteria/Nocardia Laboratory, The University of Texas Health Science Center, Tyler, Texas, USA.
Barbara A
BA
Brown-Elliott
Department of Microbiology, Mycobacteria/Nocardia Laboratory, The University of Texas Health Science Center, Tyler, Texas, USA.
Richard J
RJ
Wallace
Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA wengenack.nancy@mayo.edu.
Nancy L
NL
Wengenack
Division of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Irene G
IG
Sia
D000383:Agriculture; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D001706:Biopsy; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D003646:Debridement; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009161:Mycobacterium / Q000145:classification* / Q000187:drug effects / Q000302:isolation & purification*; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D017422:Sequence Analysis, DNA; D013717:Tenosynovitis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy
D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S