류마티스 관절염 환자에서 발생한 Mycobacterium intracellulare에 의한 관절염 1예
A Case of Tenosynovitis Due to Mycobacterium intracellulare in a Patient with Rheumatoid Arthritis
2
조회
0
다운로드
3
인용
0
참고문헌
초록
비정형 항산균에 의한 근골격계 감염은 매우 드물며, 진단이 지연되는 경우가 많다. 저자들은 류마티스 관절염 환자에서 수차례 스테로이드 주사 후에 생긴 M. intracellulare에 의한 관절염을 진단하고 수술적 치료없이 약물 치료만으로 좋은 결과를 보인 예를 경험하였기에 보고하는 바이다.
Abstract
Nontuberculous mycobacteria are ubiquitous organisms that are frequently present in the water, soil and animal reservoirs. Nontuberculous mycobacterial infections of the musculoskeletal system are rare and usually associated with predisposing factors, such as prior joint disease, trauma, use of intraarticular or oral corticosteroids, or an immunocompromised state. A sixty five-year-old patient with rheumatoid arthritis was hospitalized due to swelling on the left wrist. M. intracellulare was cultured from the aspirated joint fluid. The patient was successfully treated with clarithromycin, ethambutol, and rifampin. We report this case with review, emphasizing high suspicion for nontuberculous mycobacterial infection in patients with predisposing risk factors.
참고문헌 (11)
- Falkinham JO 3rd, "Epidemiology of infection by nontuberculous mycobacteria", 9, pp.177~215 (1996)
- Zenone T, "Non-tuberculous mycobacterial tenosynovitis:a review", 31, pp.221~228 (1999)
- Walz BH, "Mycobacterium avium-intracellulare infection of the knee joint", 8, pp.35~37 (1995)
- Lefevre P, "Mycobacterium intracellulare as a cause of a recurrent granulomatous tenosynovitis of the hand", 38, pp.127~129 (2000)
- Anim-Appiah D, "Mycobacterium avium complex tenosynovitis of the wrist and hand", 51, pp.140~142 (2004)
- Hellinger WC, "Localized soft-tissue infections with Mycobacterium avium", Mycobacterium intracellulare complex in immunocompetent patients granulomatous tenosynovitis of the hand or wrist, 1995, pp.21, 65~69
- Toussirot E, "Tenosinovitis due to Mycobacterium avium intracellulare and Mycobacterium chelonei report of two cases with review of the literature", 17, pp.152~156 (1998)
- Bishop AT, "Atypical Mycobacterium infections of the upper extremity", pp.480~7 (1994)
- Mateo L, "Mycobacterium chelonae tenosynovitis of the hand", 34, pp.617~622 (2004)
- Shafran SD, "A comparison of two regimens for the treatment of Mycobacterium avium complex bacteremia in AIDS : rifabutin, ethambutol, and clarithromycin versus rifampin, ethambutol, clofazimine, and ciprofloxacin", 335, pp.377~383 (1996)
- Benson CA, "AIDS Clinical Trials Group 223 Protocol Team. : A prospective, randomized trial examining the efficacy and safety of clarithromycin in combination with ethambutol, rifabutin, or both for the treatment of disseminated Mycobacterium avium complex disease in persons with acquired immunodeficiency syndrome", 37, pp.1234~1243 (2003)