دورية
Infectious Arthritis of the Knee Caused by Mycobacterium Terrae: A Case Report
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 |
تدمد: | 10225536 23094990 |
---|---|
DOI: | 10.1177/230949900901700123 |