A Case of Erosive Polyarthritis in a Patient Diagnosed With a Suspicion of Atypical Mycobacteria

Almoallim, Hani; Alharbi, Laila; Alshareef, Zainab; Wali, Ghassan

doi:10.2174/1874312901307010064

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…The diagnostic criteria for Poncet's disease are not uniform. Even the criteria proposed by Sharma et al rely on excluding other diseases and responses to tuberculosis treatment [ 4 , 13 ]. Therefore, the diagnosis of Poncet's disease remains unclear.…”

Section: Discussionmentioning

confidence: 99%

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

Yuasa,

Suyama,

Adachi

et al. 2023

Cureus

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The use of immunosuppressive medications to treat rheumatoid arthritis may trigger the activation of latent mycobacteria, leading to infection. These infections can lead to reactive arthritis. Conversely, both reactive and rheumatoid arthritis may be encountered in the geriatric population. When such complications arise, the treatment process becomes more complicated, necessitating careful consideration of elaborate therapeutic approaches. An 83-year-old man presented to our hospital with subacute back pain and arthralgia of the extremities. The patient was diagnosed with rheumatoid arthritis combined with mycobacterial arthritis. We approached the treatment cautiously by concurrently managing tuberculosis and non-tuberculous mycobacteria (NTM), and administering methotrexate and prednisolone for rheumatoid arthritis. This treatment resulted in remission of both conditions. When treating arthritis in older adults, it is important to consider the possibility of reactive arthritis secondary to mycobacterial infection and rule out latent tuberculosis. Moreover, when rheumatoid arthritis is complicated by mycobacterial infection and during the management of rheumatoid arthritis, the possibility of arthritis exacerbation due to mycobacteria should be considered. Hence, in situations where there is a likelihood of extrapulmonary lesions stemming from Mycobacterium infection, a proactive treatment approach targeting both Mycobacterium spp. and rheumatoid arthritis is indispensable.

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Section: Discussionmentioning

confidence: 99%

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

Yuasa,

Suyama,

Adachi

et al. 2023

Cureus

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Methotrexate

2013

Reactions Weekly

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Nontuberculous mycobacteria in Middle East: Current situation and future challenges

Velayati

Rahideh

Nezhad

et al. 2015

International Journal of Mycobacteriology

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Nontuberculous mycobacteria (NTM) are a diverse group of bacterial species that are distributed in the environment. Many of these environmental bacteria can cause disease in humans. The identification of NTM in environmental sources is important for both clinical and epidemiological purposes. In this study, the distribution of NTM species from environmental and clinical samples in the Middle East was reviewed. In order to provide an overview of NTM, as well as recent epidemiological trends, all studies addressing NTM in the Middle East from 1984 to 2014 were reviewed. A total of 96 articles were found, in which 1751 NTM strains were isolated and 1084 of which were obtained from clinical samples, 619 from environmental samples and 48 were cited by case reports. Mycobacterium fortuitum was the most common rapid growing mycobacteria (RGM) isolated from both clinical (269 out of 447 RGM; 60.1%) and environmental (135 out of 289 RGM; 46.7%) samples. Mycobacterium avium complex (MAC) was the most common slow growing mycobacteria (SGM) isolated from clinical samples (140 out of 637 SGM; 21.9%). An increasing trend in NTM isolation from the Middle East was noted over the last 5years. This review demonstrates the increasing concern regarding NTM disease in the Middle East, emphasizing the need for regional collaboration and coordination in order to respond appropriately.

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A Case of Erosive Polyarthritis in a Patient Diagnosed With a Suspicion of Atypical Mycobacteria

Cited by 5 publications

References 18 publications

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

Mycobacterium-Induced Reactive Arthritis in an Older Adult With Rheumatoid Arthritis

Methotrexate

Nontuberculous mycobacteria in Middle East: Current situation and future challenges

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