Nontuberculous Mycobacterium Arthritis and Spondylitis in a Patient with Lupus
Journal of Rheumatic Diseases
;
: 66-70, 2016.
Article
in English
| WPRIM
| ID: wpr-215895
ABSTRACT
Approximately 90% of nontuberculous mycobacterium (NTM) infections involve the pulmonary system; NTM infections involving areas of the musculoskeletal system such as the joints or spine are uncommon. This report describes a case of refractory knee swelling in a patient with systemic lupus erythematosus (SLE). Indolent arthritis of the knee eventually progressed to spondylitis and a paraspinal abscess requiring surgical incision and drainage. The cause of the infectious arthritis and spondylitis was diagnosed as NTM infection, specifically Mycobacterium kansasii. This case emphasizes the importance of a high index of clinical suspicion for mycobacterial infection, as well as repeated attempts to isolate the organism, in patients with SLE who present with atypical chronic arthritis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthritis
/
Spine
/
Spondylitis
/
Arthritis, Infectious
/
Drainage
/
Mycobacterium kansasii
/
Abscess
/
Joints
/
Knee
/
Lupus Erythematosus, Systemic
Limits:
Humans
Language:
English
Journal:
Journal of Rheumatic Diseases
Year:
2016
Type:
Article
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