Infectious Arthritis of the Knee Caused by Mycobacterium Terrae: A Case Report

التفاصيل البيبلوغرافية
العنوان: Infectious Arthritis of the Knee Caused by Mycobacterium Terrae: A Case Report
المؤلفون: Milne, BW, Arnold, MH, Hudson, B, Coolican, MRJ
المصدر: Journal of Orthopaedic Surgery; April 2009, Vol. 17 Issue: 1 p103-108, 6p
مستخلص: Mycobacterium terraeis ubiquitous in our environment. M terraeinfections most commonly involve tendon sheaths, bones, bursae, and joints. We report a case of infectious arthritis of the knee caused by M terraein a 21-year-old man who had non-specific chronic synovitis. No organism was seen on microscopy or isolated from cultures until months later. Initially the M terraeculture was considered a contaminant and specific anti-mycobacterial treatment was not advised. The patient was commenced on suppressive therapy for persistent effusion and discomfort. Eventually, the M terraeinfection was confirmed and he was commenced on clarithromycin, ciprofloxacin, and ethambutol. The triple antibiotic regimen was continued for 2 years. The knee improved but never completely settled. The patient chose to cease all antibiotic medication. The knee remained swollen and irritable, with little chance of eradicating the organism.
قاعدة البيانات: Supplemental Index
الوصف
تدمد:10225536
23094990
DOI:10.1177/230949900901700123