Non-tuberculous mycobacterial tenosynovitis: a review.
ABSTRACT The clinical characteristics, outcome and treatment of non-tuberculous mycobacterial tenosynovitis are reviewed. From lesions localized in the hand, 10 different species of non-tuberculous mycobacteria have been reported. The most common are Mycobacterium marinum and Mycobacterium kansasii. Other less frequent organisms are Mycobacterium avium complex, Mycobacterium szulgai, Mycobacterium terrae, Mycobacterium fortuitum, Mycobacterium chelonae, Mycobacterium abscessus, Mycobacterium malmoense and Mycobacterium xenopi. The infections appear to be the result of previous trauma, surgical procedure, corticosteroid injection or non-apparent inoculation (water contamination). Immunosuppression is sometimes associated with the infections and can be considered as a risk factor. Surgical debridement and appropriate mycobacterial cultures are critical to enable diagnosis and appropriate management. Specimens should be inoculated on a range of media and incubated at a range of temperatures in order to isolate mycobacteria with different growth characteristics (with prolonged incubation). The optimal treatment of these infections is discussed.
International Journal of Rheumatic Diseases 06/2013; 16(3):364-6. DOI:10.1111/1756-185X.12111 · 1.77 Impact Factor
Journal of the American Geriatrics Society 10/2013; 61(10):1842-1843. DOI:10.1111/jgs.12487 · 4.22 Impact Factor
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ABSTRACT: —Mycobacterium marinum is a causative pathogen of skin and soft tissue infections. Infection often occurs when the microorganism is inoculated by exposure to contaminated water of aquariums and swimming-pools. Mycobacterium marinum is only infectious in erosive skin; therefore, the most common locations are the body areas exposed to traumatism. Three cases of cutaneous infection caused by Mycobacterium marinum are described. Cultures from skin biopsy specimens revealed this organism in all cases. Patients received antibiotic treatment with different response in all of them. We discuss the characteristics of cutaneous infection caused by this mycobacteria, as well as the need of an adequate diferential diagnosis to carry out an appropriate diagnosis and treatment, in order to avoid the appearance of complications.Actas Dermo-Sifiliográficas 01/2001; 92(6):277–282. DOI:10.1016/S0001-7310(01)76484-8