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Mycobacterium abscessus에 의한 무릎관절의 골수염 1예

Knee Joint Osteomyelitis due to Mycobacterium abscessus : A Case Report

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초록

Nontuberculous mycobacteria (NTM) is widely present in environment but it rarely causes infections in human. However, when NTM infects humans, it can cause pulmonary infection, lymphadenitis, skin infections, disseminated infection, etc. Of theses disease, pulmonary infection occurs most frequently while osteomyelitis is rare. In addition, osteomyelitis caused by Mycobacterium abscessus , an acid-fast bacillus classified as a pathogenic "rapid growing" NTM, is even rare and has never been reported in Korea. Although no consensus guidelines concerning the treatment of osteomyelitis caused by M. abscessus exist, prolonged antibiotics therapy in combination with surgical debridement is generally recommended. Herein, we reported the first case of knee joint osteomyelitis caused by M. abscessus in Korea. The patient experienced significant improvement after antibiotic treatment without recourse to surgery.

Abstract

Nontuberculous mycobacteria (NTM) is widely present in environment but it rarely causes infections in human. However, when NTM infects humans, it can cause pulmonary infection, lymphadenitis, skin infections, disseminated infection, etc. Of theses disease, pulmonary infection occurs most frequently while osteomyelitis is rare. In addition, osteomyelitis caused by Mycobacterium abscessus , an acid-fast bacillus classified as a pathogenic "rapid growing" NTM, is even rare and has never been reported in Korea. Although no consensus guidelines concerning the treatment of osteomyelitis caused by M. abscessus exist, prolonged antibiotics therapy in combination with surgical debridement is generally recommended. Herein, we reported the first case of knee joint osteomyelitis caused by M. abscessus in Korea. The patient experienced significant improvement after antibiotic treatment without recourse to surgery.

참고문헌 (15)

  1. Griffith DE, "An official ATS", IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases, 2007, pp.175, 367~416
  2. "Diagnosis and treatment of disease caused by nontuberculous mycobacteria", Am J Respir Crit Care Med, 156, pp.S1~S25 (1997), Medical Section of the American Lung Association
  3. "Management of opportunist mycobacterial infections: Joint Tuberculosis Committee Guidelines 1999", Thorax, 55, pp.210~218 (2000), Subcommittee of the Joint Tuberculosis Committee of the British Thoracic Society
  4. 조경욱, "Mycobacterium abscessus 폐질환 치료의 장기 성적", Tuberculosis and Respiratory Diseases, 62(2), pp.98~104 (2007), 대한결핵및호흡기학회
  5. Koh WJ, "Diagnosis and treatment of nontuberculous mycobacterial lung disease", Korean Journal of Medicine, 74, pp.120~131 (2008)
  6. 고원중, "항산균 도말양성 객담에서 비결핵성 마이코박테리아의 분리 비율", Tuberculosis and Respiratory Diseases, 54(1), pp.22~32 (2003), 대한결핵및호흡기학회
  7. Phillips MS, "Nosocomial infections due to nontuberculous mycobacteria", Clin Infect Dis, 33, pp.1363~1374 (2001)
  8. O'Brien DP, "Nontuberculous mycobacterial disease in northern Australia: a case series and review of the literature", Clin Infect Dis, 31, pp.958~968 (2000)
  9. Ryu SW, "A Case of knee Joint infection by Mycobacterium abscessus", Korean J Clin Pathol, 21, pp.371~376 (2001)
  10. Brown-Elliott BA, "Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria", Clin Microbiol Rev, 15, pp.716~746 (2002)
  11. Moore M, "An unusual acid-fast infection of the knee with subcutaneous, abscess-like lesions of the gluteal region; report of a case with a study of the organism, Mycobacterium abscessus , n. sp", J Invest Dermatol, 20, pp.133~169 (1953)
  12. Galil K, "Abscesses due to Mycobacterium abscessus linked to injection of unapproved alternative medication", Emerg Infect Dis, 5, pp.681~687 (1999)
  13. Byun YS, "Iatrogenic spinal infection after injection therapy in spine", Journal of Korean Society of Spine Surgery, 13, pp.299~305 (2006)
  14. Bar T, "Osteomyelitis of the mandible due to Mycobacterium abscessus : a case report", J Oral Maxillofac Surg, 63, pp.841~844 (2005)
  15. Petitjean G, "Vertebral osteomyelitis caused by non-tuberculous mycobacteria", Clin Microbiol Infect, 10, pp.951~953 (2004)

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